Women's experiences of the breast cancer diagnostic process: A thematic evaluation of the literature; Recall and biopsy

International Nuclear Information System (INIS)

Clark, Sarah; Reeves, Pauline J.

2015-01-01

Aim: The aim of this study was to use relevant literature to understand women's experiences of diagnostic breast cancer procedures; in this case their experiences of being recalled and of having a biopsy. Method: A structured literature search was performed to locate relevant research. Research articles published between 2002 and 2013 were identified in CINAHL, MEDLINE and Science Direct. The quality of the research was assessed using an appropriate critical appraisal tool to enable a systematic and consistent assessment. Results: Thematic analysis of the literature identified five themes: fear, pain and discomfort, waiting, the physical environment and staff interactions. Women's experiences are unique and diverse; however, literature suggests that these themes do summarise women's experiences. Conclusion: Women's experiences of diagnostic breast cancer procedures are not limited to the examinations alone but encompass the entire experience. These themes influence women's experiences and their perception of care

DIAGNOSTICS FOR ION BEAM DRIVEN HIGH ENERGY DENSITY PHYSICS EXPERIMENTS

International Nuclear Information System (INIS)

Bieniosek, F.M.; Henestroza, E.; Lidia, S.; Ni, P.A.

2010-01-01

Intense beams of heavy ions are capable of heating volumetric samples of matter to high energy density. Experiments are performed on the resulting warm dense matter (WDM) at the NDCX-I ion beam accelerator. The 0.3 MeV, 30-mA K + beam from NDCX-I heats foil targets by combined longitudinal and transverse neutralized drift compression of the ion beam. Both the compressed and uncompressed parts of the NDCX-I beam heat targets. The exotic state of matter (WDM) in these experiments requires specialized diagnostic techniques. We have developed a target chamber and fielded target diagnostics including a fast multi-channel optical pyrometer, optical streak camera, laser Doppler-shift interferometer (VISAR), beam transmission diagnostics, and high-speed gated cameras. We also present plans and opportunities for diagnostic development and a new target chamber for NDCX-II.

Lesion type and reader experience affect the diagnostic accuracy of breast MRI: A multiple reader ROC study

Energy Technology Data Exchange (ETDEWEB)

Baltzer, Pascal A.T., E-mail: patbaltzer@gmail.com [Department of Biomedical Imaging and Imge-guided Therapy, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna (Austria); Kaiser, Werner Alois [Department of Diagnostic and Interventional Radiology, University Hospital Jena, Erlanger Allee 101, 07740 Jena (Germany); Dietzel, Matthias, E-mail: dietzelmatthias2@hotmail.com [Department of Neuroradiology, University Hospital Erlangen, Schwabachanlage 6, 91054 Erlangen (Germany)

2015-01-15

Highlights: • The main findings of our study are, that reader experience and lesion type (i.e., mass versus non-mass enhancement) are independent predictors of the diagnostic accuracy of breast MRI. • Specifically, benign and malignant non-mass lesions cannot be differentiated with sufficient accuracy, especially if readers are not experienced. • We conclude that future research in breast MRI should focus on non-mass lesions, as these are the problem makers in modern breast MRI. - Abstract: Purpose: To evaluate the influence of lesion type (mass versus non-mass) and reader experience on the diagnostic performance of breast MRI (BMRI) in a non-screening setting. Materials and methods: Consecutive patients (mean age, 55 ± 12 years) with breast lesions that were verified by biopsy or surgery, and who had had BMRI as part of their diagnostic workup, were eligible for this retrospective single-center study. Cancers diagnosed by biopsy before BMRI were excluded to eliminate biological and interpretation bias due to biopsy or chemotherapy effects (n = 103). Six blinded readers (experience level, high (HE, n = 2); intermediate (IE, n = 2); and low (LE, n = 2)) evaluated all examinations and assigned independent MRI BI-RADS ratings. Lesion type (mass, non-mass, focal) was noted. Receiver operating characteristics (ROC) and logistic regression analysis was performed to compare diagnostic accuracies. Results: There were 259 histologically verified lesions (123 malignant, 136 benign) investigated. There were 169 mass (103 malignant, 66 benign) and 48 non-mass lesions (19 malignant, 29 benign). Another 42 lesions that met the inclusion criteria were biopsied due to conventional findings (i.e., microcalcifications, architectural distortions), but did not enhance on MRI (41 benign, one DCIS). ROC analysis revealed a total area under the curve (AUC) between 0.834 (LE) and 0.935 (HI). Logistic regression identified a significant effect of non-mass lesions (P < 0.0001) and

Quality Control in Diagnostic Radiology: Experiences and Achievements

International Nuclear Information System (INIS)

Mohd Khalid Matori; Husaini Salleh; Muhammad Jamal Md Isa

2015-01-01

Malaysian Nuclear Agency through its Medical Physics Group has been providing Quality Control (QC) services for medical X-ray apparatus used in diagnostic radiology to private clinics and hospitals since the year 1997. The Medical Physics Groups services is endorsed by the Malaysian Ministry Of Health (MOH) and is in accordance with the Malaysian Standard MS 838 and the Atomic Energy Licensing Act, 1984. Until today, the scopes of testing services also include all types of medical x-ray apparatus. The quality control (QC) in diagnostic radiology is considered as part of quality assurance program which provide accurate diagnostic information at the lowest cost and the least exposure of the patients to radiation. Many experience and obstacles were faced by Medical Physics Group. This paper will discuss the experiences and achievements of providing QC service from early stage until now so that it can be shared by the citizens of the Malaysian Nuclear Agency. The results of quality assurance inspection of all types of X-ray apparatus for medical conducted by Agency Nuclear Malaysia will be presented in brief. (author)

High speed photography diagnostics in laser-plasma interaction experiments

International Nuclear Information System (INIS)

Andre, M.L.

1988-01-01

The authors report on their effort in the development of techniques involved in laser-plasma experiments. This includes not only laser technology but also diagnostics studies and targets design and fabrication. Among the different kind of diagnostics currently used are high speed streak cameras, fast oscilloscopes and detectors sensitive in the i.r., visible, the u.v. region and the x-rays. In this presentation the authors describe the three high power lasers which are still in operation (P 102, OctAL and PHEBUS) and the main diagnostics used to characterize the plasma

Diagnostics developments and applications for laser fusion experiments

International Nuclear Information System (INIS)

Coleman, L.W.

1977-01-01

Some diagnostics techniques applied to current laser fusion target experiments are reviewed. Specifically, holographic interferometry of target plasmas, coded aperture imaging of thermonuclear alpha-particles and neutron energy spectrum measurements are discussed

Diagnostics Plan for the National Compact Stellarator Experiment

International Nuclear Information System (INIS)

D. Johnson; T. Brown; H. Neilson; G. Schilling; H. Takahashi; M. Zarnstorff; M. Cole; E. Lazarus; and M. Fenstermacher

2002-01-01

The National Compact Stellarator Experiment (NCSX) is a stellarator-tokamak hybrid seeking to combine the good confinement, high beta and moderate aspect ratio of the tokamak with the quasi-steady-state operation and good stability properties of the stellarator. A preliminary list of measurement requirements, intended to satisfy the needs of the phased research plan, provides the basis for a full complement of plasma diagnostics. It is important to consider this full set, even at this early stage, to assess the adequacy of the stellarator design for diagnostic port access. The 3-D nature of the plasma is a measurement challenge, as is the necessity for high spatial resolution to assess the quality of magnetic surfaces. Other diagnostic requirements include the need for re-entrant views that penetrate the cryostat, for a convenient e-beam probe for field line mapping, and for a diagnostic neutral beam for active spectroscopy

Advanced neutron diagnostics for ITER fusion experiments

International Nuclear Information System (INIS)

Kaellne, J.; Giacomelli, L.; Hjalmarsson, A.; Conroy, S.; Ericsson, G.; Johnson, M.G.; Glasser, W.; Henriksson, H.; Ronchi, E.; Sjoestrand, H.; Andersson, E.S.; Thun, J.; Weiszflog, M.; Gorini, G.; Tardocchi, M.; Popovichev, S.; Sousa, J.

2005-01-01

Results are presented from the neutron emission spectroscopy (NES) diagnosis of JET plasma performed with the MPR during the DTE1 campaign of 1997 and the recent TTE of 2003. The NES diagnostic capabilities at JET are presently being drastically enhanced by an upgrade of the MPR (MPRu) and a new 2.5-MeV TOF neutron spectrometer (TOFOR). The principles of MPRu and TOFOR are described and illustrated with the diagnostic role they will play in the high performance fusion experiments in the forward program of JET largely aimed at supporting ITER. The importance for the JET NES effort for ITER is discussed. (author)

Nonneutral plasma diagnostic commissioning for the ALPHA Antihydrogen experiment

Science.gov (United States)

Konewko, S.; Friesen, T.; Tharp, T. D.; Alpha Collaboration

2017-10-01

The ALPHA experiment at CERN creates antihydrogen by mixing antiproton and positron plasmas. Diagnostic measurements of the precursor plasmas are performed using a diagnostic suite, colloquially known as the ``stick.'' This stick has a variety of sensors and is able to move to various heights to align the desired diagnostic with the beamline. A cylindrical electrode, a faraday cup, an electron gun, and a microchannel-plate detector (MCP) are regularly used to control and diagnose plasmas in ALPHA. We have designed, built, and tested a new, upgraded stick which includes measurement capabilities in both beamline directions.

Experience with diagnostic instrumentation in nuclear power plants

International Nuclear Information System (INIS)

Gopal, R.; Ciaramitaro, W.

1977-01-01

Over the past several years, Westinghouse has developed a coordinated system of on-line diagnostic instrumentation for the acquisition and analysis of data for diagnostics and incipient failure detection of critical plant equipment and systems. Primary motivation for this work is to improve NSSS availability and Maintainability through the detection of malfunctions at their inception. These systems encompass the following areas: (1) Vibration Monitoring System for detection of changes in vibrational characteristics of the major components of Nuclear Steam Supply System (NSSS) and Balance of Plant (BOP); (2) Acoustic Monitoring System for detection and location of leaks in the primary system pressure boundary and other piping systems in PWRs; (3) Metal Impact Monitoring for detection of loose debris in the reactor vessel and steam generators; (4) Nuclear Noise Monitoring System for monitoring core barrel vibration; (5) Sensor Response Time Measurement System for detecting any degradation of process sensors; and (6) Transit Time Flow Meter for determining primary coolant flow rate. Summarized in this paper are some of the features of the systems and in-plant experience. These experiences demonstrate that diagnostic systems in combination with analytical and laboratory work for data interpretation do improve plant availability. (author)

First tests of diagnostic mirrors in a tokamak divertor: An overview of experiments in DIII-D

International Nuclear Information System (INIS)

Litnovsky, A.; Rudakov, D.L.; De Temmerman, G.; Wienhold, P.; Philipps, V.; Samm, U.; McLean, A.G.; West, W.P.; Wong, C.P.C.; Brooks, N.H.; Watkins, J.G.; Wampler, W.R.; Stangeby, P.C.; Boedo, J.A.; Moyer, R.A.; Allen, S.L.; Fenstermacher, M.E.; Groth, M.; Lasnier, C.J.; Boivin, R.L.

2008-01-01

Mirrors will be used in ITER in all optical diagnostic systems observing the plasma radiation in the ultraviolet, visible and infrared ranges. Diagnostic mirrors in ITER will suffer from electromagnetic radiation, energetic particles and neutron irradiation. Erosion due to impact of fast neutrals from plasma and deposition of plasma impurities may significantly degrade optical and polarization characteristics of mirrors influencing the overall performance of the respective diagnostics. Therefore, maintaining the best possible performance of mirrors is of the crucial importance for the ITER optical diagnostics. Mirrors in ITER divertor are expected to suffer from deposition of impurities. The dedicated experiment in a tokamak divertor was needed to address this issue. Investigations with molybdenum diagnostic mirrors were made in DIII-D divertor. Mirror samples were exposed at different temperatures in the private flux region to a series of ELMy H-mode discharges with partially detached divertor plasmas. An increase of temperature of mirrors during the exposure generally led to the mitigation of carbon deposition, primarily due to temperature-enhanced chemical erosion of carbon layers by D atoms. Finally, for the mirrors exposed at the temperature of ∼160 o C neither carbon deposition nor degradation of optical properties was detected

Development of X-ray tracer diagnostics for radiatively-driven ablator experiments

International Nuclear Information System (INIS)

MacFarlane, J.J.; Cohen, D.H.; Wang, P.; Moses, G.A.; Peterson, R.R.; Jaanimagi, P.A.; Langen, O.L.; Olson, R.E.; Murphy, T.J.; Magelssen, G.R.; Delamater, N.D.

1999-01-01

This report covers fiscal year 1998 of our ongoing project to develop tracer X-ray spectroscopic diagnostics for hohlraum environments. This effort focused on an experimental campaign carried out at OMEGA on 25--27 August 1998. This phase of the project heavily emphasized experimental design, diagnostic development, and target fabrication, as well as building up numerical models for the experiments. The spectral diagnostic under development involves using two thin (few 1000 Angstroem) mid-Z tracers in two witness plates mounted on the side of a hohlraum with the tracers' K a absorption features seen against an X-ray backlighter. The absorption data are used to sample the time-dependent, localized properties of each witness plate as a radiation wave ablates it. The experiments represented the first application of this diagnostic, in this case to side-by-side doped and undoped plastic to investigate the effects of capsule ablator dopants

Uncertainty during breast diagnostic evaluation: state of the science.

Science.gov (United States)

Montgomery, Mariann

2010-01-01

To present the state of the science on uncertainty in relationship to the experiences of women undergoing diagnostic evaluation for suspected breast cancer. Published articles from Medline, CINAHL, PubMED, and PsycINFO from 1983-2008 using the following key words: breast biopsy, mammography, uncertainty, reframing, inner strength, and disruption. Fifty research studies were examined with all reporting the presence of anxiety persisting throughout the diagnostic evaluation until certitude is achieved through the establishment of a definitive diagnosis. Indirect determinants of uncertainty for women undergoing breast diagnostic evaluation include measures of anxiety, depression, social support, emotional responses, defense mechanisms, and the psychological impact of events. Understanding and influencing the uncertainty experience have been suggested to be key in relieving psychosocial distress and positively influencing future screening behaviors. Several studies examine correlational relationships among anxiety, selection of coping methods, and demographic factors that influence uncertainty. A gap exists in the literature with regard to the relationship of inner strength and uncertainty. Nurses can be invaluable in assisting women in coping with the uncertainty experience by providing positive communication and support. Nursing interventions should be designed and tested for their effects on uncertainty experienced by women undergoing a breast diagnostic evaluation.

Factors influencing diagnostic yield of CT-guided percutaneous core needle biopsy for bone lesions

International Nuclear Information System (INIS)

Li, Y.; Du, Y.; Luo, T.Y.; Yang, H.F.; Yu, J.H.; Xu, X.X.; Zheng, H.J.; Li, B.

2014-01-01

Aim: To evaluate the factors influencing diagnostic yield of computed tomography (CT)-guided percutaneous core needle biopsy (CNB) for bone lesions. Materials and methods: Between September 2005 and July 2011, 162 consecutive CT-guided CNB procedures were performed in 155 patients. The variables analysed were age, sex, lesion location, lesion type, lesion size, specimen size, biopsy needle gauge, and individual radiologist. The factors influencing diagnostic yield of CT-guided percutaneous CNB for bone lesions were determined by multivariate analysis of variables. Results: The diagnostic yield was 81.5%. Diagnostic yield was 89.9% for lytic bone lesions and 48.5% for sclerotic bone lesions (p < 0.001), and 89.2% for lesions ≥3 cm and 73.4% for lesions <3 cm (p = 0.010). The significant factors influencing diagnostic yield of CT-guided percutaneous CNB for bone lesions were lesion type [p < 0.001; odds ratio (OR) for a lytic lesion was approximately 12 times higher than that for a sclerotic lesion; 95% confidence interval (CI): 4.22–34.01], and lesion size (p = 0.012; OR for a lesion size ≥3 cm was about five-times higher than that for a lesion size <3 cm; 95% CI: 1.42–16.71). Conclusion: Lesion type and lesion size are determining factors in diagnostic yield. The higher diagnostic yield is correlated with lytic lesion and lesion size ≥3 cm

Diagnostics for Pioneer I imploding plasma experiments

International Nuclear Information System (INIS)

Lee, P.H.Y.; Benjamin, R.F.; Brownell, J.H.

1985-01-01

The Pioneer I series of imploding plasma experiments are aimed at collapsing a thin aluminum foil with a multimegampere, submicrosecond electrical pulse produced by an explosive flux compression generator and fast plasma compression opening switch. Anticipated experimental conditions are bounded by implosion velocities of 2 x 10 7 cm/s and maximum plasma temperatures of 100 eV. A comprehensive array of diagnostics have been deployed to measure implosion symmetry (gated microchannel plate array and other time-resolved imaging), temperature of the imploding plasma (visible/uv spectroscopy), stagnation geometry (x-ray pinhole imaging), radiation emission characteristics at pinch (XRD's, fast bolometry), and electrical drive history (Rogowski loops, Faraday rotation current detectors, and capacitive voltage probes). Diagnostic performance is discussed and preliminary results are presented

Cognitive development, clinical knowledge, and clinical experience related to diagnostic ability.

Science.gov (United States)

Aquilino, M L

1997-01-01

To examine the relationship among cognitive development, clinical knowledge, and clinical experience in nursing students. A survey of junior and senior baccalaureate nursing students from three Midwestern colleges (N = 55). Students' diagnostic ability increased as they gained clinical experience and clinical knowledge. However, students failed to identify many nursing diagnoses and demonstrated only moderate levels of cognitive development. Nurse educators and nursing students need to change their approaches to teaching and learning to enhance students' diagnostic ability and cognitive development.

Nordic working group for medical x-ray diagnostics: Diagnostic reference levels within xray diagnostics - experiences in the Nordic countries

International Nuclear Information System (INIS)

Leitz, W.; Groen, P.; Servomaa, A.; Einarsson, G.; Olerud, H.

2003-01-01

Medical x-ray diagnostics is one of the few applications of ionising radiation where people are irradiated on purpose. The strategy for radiation protection is also different compared to that in other areas that have the zero-alternative as its ultimate goal, meaning that no human beings at all are exposed in these practices. The focus in x-ray diagnostics concerning radiation protection is justification and optimisation. Optimisation implies that the examination is performed in such a way that the radiation dose is as small as possible without jeopardising the diagnostic security. X- ray diagnostics is a complex method where many technical parameters and methodology factors together are interacting in the determination of radiation dose and image quality. The optimisation process is not a simple and uncomplicated procedure, this difficulty is reflected in many international and national surveys showing a large spread of patient doses for one and the same type of examination. The concept diagnostic reference levels (DRL) has been introduced as a tool for reducing this wide distribution that is obviously indicating a lack of optimisation, and for cutting the highest radiation doses. In this presentation the concept for DRL and the experience gained in the Nordic countries with DRL are described. (orig.)

Advancing the education in molecular diagnostics: the IFCC-Initiative "Clinical Molecular Biology Curriculum" (C-CMBC); a ten-year experience.

Science.gov (United States)

Lianidou, Evi; Ahmad-Nejad, Parviz; Ferreira-Gonzalez, Andrea; Izuhara, Kenji; Cremonesi, Laura; Schroeder, Maria-Eugenia; Richter, Karin; Ferrari, Maurizio; Neumaier, Michael

2014-09-25

Molecular techniques are becoming commonplace in the diagnostic laboratory. Their applications influence all major phases of laboratory medicine including predisposition/genetic risk, primary diagnosis, therapy stratification and prognosis. Readily available laboratory hardware and wetware (i.e. consumables and reagents) foster rapid dissemination to countries that are just establishing molecular testing programs. Appropriate skill levels extending beyond the technical procedure are required for analytical and diagnostic proficiency that is mandatory in molecular genetic testing. An international committee (C-CMBC) of the International Federation for Clinical Chemistry (IFCC) was established to disseminate skills in molecular genetic testing in member countries embarking on the respective techniques. We report the ten-year experience with different teaching and workshop formats for beginners in molecular diagnostics. Copyright © 2014 Elsevier B.V. All rights reserved.

Influence of newly designed monorail pressure sensor catheter on coronary diagnostic parameters: an in vitro study.

Science.gov (United States)

Banerjee, Rupak K; Peelukhana, Srikara V; Goswami, Ishan

2014-02-07

The decision to perform intervention on a patient with coronary stenosis is often based on functional diagnostic parameters obtained from pressure and flow measurements using sensor-tipped guidewire at maximal vasodilation (hyperemia). Recently, a rapid exchange Monorail Pressure Sensor catheter of 0.022″ diameter (MPS22), with pressure sensor at distal end has been developed for improved assessment of stenosis severity. The hollow shaft of the MPS22 is designed to slide over any standard 0.014″ guidewire (G14). Hence, influence of MPS22 diameter on coronary diagnostic parameters needs investigation. An in vitro experiment was conducted to replicate physiologic flows in three representative area stenosis (AS): mild (64% AS), intermediate (80% AS), and severe (90% AS), for two arterial diameters, 3mm (N2; more common) and 2.5mm (N1). Influence of MPS22 on diagnostic parameters: fractional flow reserve (FFR) and pressure drop coefficient (CDP) was evaluated both at hyperemic and basal conditions, while comparing it with G14. The FFR values decreased for the MPS22 in comparison to G14, (Mild: 0.87 vs 0.88, Intermediate: 0.68 vs 0.73, Severe: 0.48 vs 0.56) and CDP values increased (Mild: 16 vs 14, Intermediate: 75 vs 56, Severe: 370 vs 182) for N2. Similar trend was observed in the case of N1. The FFR values were found to be well above (mild) and below (intermediate and severe) the diagnostic cut-off of 0.75. Therefore, MPS22 catheter can be used as a possible alternative to G14. Further, irrespective of the MPS22 or G14, basal FFR (FFRb) had overlapping ranges in close proximity for clinically relevant mild and intermediate stenoses that will lead to diagnostic uncertainty under both N1 and N2. However, CDPb had distinct ranges for different stenosis severities and could be a potential diagnostic parameter under basal conditions. Copyright © 2013 Elsevier Ltd. All rights reserved.

Effects of Experience and Training on Diagnostic Accuracy.

Science.gov (United States)

Brammer, Robert

The interview process was studied to uncover the relationship of expertise in psychotherapy to the likelihood of accurate diagnosis. Experience and training affect the number of diagnostic questions clinicians ask as compared to personal, family, social, occupational, and history questions; and this in turn affects the accuracy of the diagnoses…

Diagnostic Labeling in Juvenile Court: How Do Descriptions of Psychopathy and Conduct Disorder Influence Judges?

Science.gov (United States)

Murrie, Daniel C.; Boccaccini, Marcus T.; McCoy, Wendy; Cornell, Dewey G.

2007-01-01

This study examined the influence of diagnostic criteria and diagnostic labels for psychopathy or conduct disorder on judicial decisions. A national sample of judges (N = 326) rendered hypothetical dispositions based on 1 of 12 mock psychological evaluations. The evaluations varied the presence of 2 sets of diagnostic criteria (antisocial…

BRIEF REPORT: Beyond Clinical Experience: Features of Data Collection and Interpretation That Contribute to Diagnostic Accuracy

Science.gov (United States)

Nendaz, Mathieu R; Gut, Anne M; Perrier, Arnaud; Louis-Simonet, Martine; Blondon-Choa, Katherine; Herrmann, François R; Junod, Alain F; Vu, Nu V

2006-01-01

BACKGROUND Clinical experience, features of data collection process, or both, affect diagnostic accuracy, but their respective role is unclear. OBJECTIVE, DESIGN Prospective, observational study, to determine the respective contribution of clinical experience and data collection features to diagnostic accuracy. METHODS Six Internists, 6 second year internal medicine residents, and 6 senior medical students worked up the same 7 cases with a standardized patient. Each encounter was audiotaped and immediately assessed by the subjects who indicated the reasons underlying their data collection. We analyzed the encounters according to diagnostic accuracy, information collected, organ systems explored, diagnoses evaluated, and final decisions made, and we determined predictors of diagnostic accuracy by logistic regression models. RESULTS Several features significantly predicted diagnostic accuracy after correction for clinical experience: early exploration of correct diagnosis (odds ratio [OR] 24.35) or of relevant diagnostic hypotheses (OR 2.22) to frame clinical data collection, larger number of diagnostic hypotheses evaluated (OR 1.08), and collection of relevant clinical data (OR 1.19). CONCLUSION Some features of data collection and interpretation are related to diagnostic accuracy beyond clinical experience and should be explicitly included in clinical training and modeled by clinical teachers. Thoroughness in data collection should not be considered a privileged way to diagnostic success. PMID:17105525

Dementia diagnosis and post-diagnostic support in Scottish rural communities: experiences of people with dementia and their families.

Science.gov (United States)

Innes, Anthea; Szymczynska, Paulina; Stark, Cameron

2014-03-01

This paper explores the reported difficulties and satisfactions with diagnostic processes and post-diagnostic support offered to people with dementia and their families living in the largest remote and rural region in Scotland. A consultation with 18 participants, six people with dementia and 12 family members, was held using semi-structured interviews between September and November 2010. Three points in the diagnostic process were explored: events and experiences pre-diagnosis; the experience of the diagnostic process; and post-diagnostic support. Experiences of people with dementia and their carers varied at all three points in the diagnostic process. Participant experiences in this study suggest greater efforts are required to meet Government diagnosis targets and that post-diagnostic support needs to be developed and monitored to ensure that once a diagnosis is given people are well-supported. Without post-diagnostic provision Government targets for diagnosis are just that, quota targets, rather than a means to improve service experiences.

[Analysis of characteristics and influence factors of diagnostic delay of endometriosis].

Science.gov (United States)

Han, X T; Guo, H Y; Kong, D L; Han, J S; Zhang, L F

2018-02-25

Objective: To access the influence factors of diagnostic delay of endometriosis. Methods: We designed a questionnaire of diagnostic delay of endometriosis. From February 2014 to February 2016, 400 patients who had dysmenorrhea and diagnosed with endometriosis by surgery in Peking University Third Hospital were surveyed retrospectively. Time and risk factors of diagnostic delay were analyzed. Results: The diagnostic delay of 400 patients was 13.0 years (0.2-43.0 years), 78.5%(314/400) patients thought pain was a normal phenomenon and didn't see the doctor. Patients who suffered dysmenorrhea at menarche experienced longer diagnostic delay than those who had dysmenorrhea after menarche (18.0 vs 4.5 years; Z= 191.800, Pendometriosis (DIE) , family history of dysmenorrhea or endometriosis, previous surgical history of endometriosis, high stage, with infertility, adenomyoma or other symptoms, could help to shorten diagnostic delay with no significant difference ( P> 0.05) . By multiple logistic regression analysis, the results shown that whether have dysmenorrhea at menarche and clinical diagnosis time were the independent factors affecting delayed diagnosis ( Pendometriosis is common and the mean delay time is 13.0 years mainly due to the unawareness of dysmenorrhea. Dysmenorrhea at menarche, clinical diagnosis time and dysmenorrhea intensity are the factors affecting time of diagnostic delay.

Optical diagnostics on the Magnetized Shock Experiment (MSX)

Science.gov (United States)

Boguski, J. C.; Weber, T. E.; Intrator, T. P.; Smith, R. J.; Dunn, J. P.; Hutchinson, T. M.; Gao, K. W.

2013-10-01

The Magnetized Shock Experiment (MSX) at Los Alamos National Laboratory was built to investigate the physics of high Alfvén Mach number, supercritical, magnetized shocks through the acceleration and subsequent stagnation of a Field Reversed Configuration (FRC) plasmoid against a magnetic mirror and/or plasma target. A suite of optical diagnostics has recently been fielded on MSX to characterize plasma conditions during the formation, acceleration, and stagnation phases of the experiment. CCD-backed streak and framing cameras, and a fiber-based visible light array, provide information regarding FRC shape, velocity, and instability growth. Time-resolved narrow and broadband spectroscopy provides information on pre-shock plasma temperature, impurity levels, shock location, and non-thermal ion distributions within the shock region. Details of the diagnostic design, configuration, and characterization will be presented along with initial results. This work is supported by the Center for Magnetic Self Organization, DoE OFES and NNSA under LANS contract DE-AC52-06NA25369. Approved for public release: LA-UR- 13-25190.

Laser-Induced Fluorescence diagnostic of barium ion plasmas in the Paul Trap Simulator Experiment

International Nuclear Information System (INIS)

Chung, Moses; Gilson, Erik P.; Davidson, Ronald C.; Efthimion, Philip C.; Majeski, Richard; Startsev, Edward A.

2005-01-01

The Paul Trap Simulator Experiment (PTSX) is a cylindrical Paul trap whose purpose is to simulate the nonlinear dynamics of intense charged particle beam propagation in alternating-gradient magnetic transport systems. To investigate the ion plasma microstate in PTSX, including the ion density profile and the ion velocity distribution function, a laser-induced fluorescence diagnostic system is being developed as a nondestructive diagnostic. Instead of cesium, which has been used in the initial phase of the PTSX experiment, barium has been selected as the preferred ion for the laser-induced fluorescence diagnostic. A feasibility study of the laser-induced fluorescence diagnostic using barium ions is presented with the characterization of a tunable dye laser. The installation of the barium ion source and the development of the laser-induced fluorescence diagnostic system are also discussed

CT-guided percutaneous transthoracic aspiration biopsy of lung lesions: factors influencing the diagnostic accuracy

International Nuclear Information System (INIS)

Huang Zhenguo; Zhang Xuezhe; Wang Wu

2006-01-01

Objective: To investigate the factors influencing the diagnostic accuracy in CT-guided percutaneous transthoracic aspiration biopsy of lung lesions. Methods: CT-guided percutaneous transthoracic biopsy was performed in 435 patients with surgical pathologic confirmation or clinical follow-up. Univariant statistical analysis and multivariant stepwise Logistic regression analysis were used to study the influence of lesion-related factors (benignancy or malignancy, size, location, depth, presence of cavity), procedure factors (laser-guidance, position of patient) and patient-related factors (sex, age, presence of emphysema); with the accuracy of the diagnosis. Results: 1)289 lesions were diagnosed as malignant ones and 146 as benign ones. The accuracy of CT-guided biopsy was 83.4%(363/435). Univariant analysis showed that the diagnostic accuracies for malignant and benign lesions were 88.9%(257/289) and 72.6%(106/146), respectively (χ 2 =18.71, P=0.00002). Laser-group was superior to non-laser group (88.4% versus 80.9%, respectively, χ 2 =4.00, P=0.0456). Mean diameters of lesions in correct diagnostic group and non-correct diagnostic group were 3.78±1.64 cm and 3.02±1.26 cm, respectively (F=13.79, P=0.0002). 2)Multivariant stepwise Logistic regression analysis showed that among the various factors influencing the final benign or malignant diagnoses (Wald χ 2 =14.01, P=0.0002) and using laser-guidance(Wald χ 2 =3.92, P=0.0477) were significantly associated with the diagnostic accuracy. Conclusions: Final correct diagnoses (benign, malignant) are closely related to the application of laser-guidance for determining the diagnostic accuracy in CT-guided transcutaneous thoracic needle aspiration biopsy. (authors)

Observational constraints of stellar collapse: Diagnostic probes of nature's extreme matter experiment

Directory of Open Access Journals (Sweden)

Chris L. Fryer

2014-04-01

Full Text Available Supernovae are Nature's high-energy, high density laboratory experiments, reaching densities in excess of nuclear densities and temperatures above 10 MeV. Astronomers have built up a suite of diagnostics to study these supernovae. If we can utilize these diagnostics, and tie them together with a theoretical understanding of supernova physics, we can use these cosmic explosions to study the nature of matter at these extreme densities and temperatures. Capitalizing on these diagnostics will require understanding a wide range of additional physics. Here we review the diagnostics and the physics neeeded to use them to learn about the supernova engine, and ultimate nuclear physics.

Development of Laser-Induced Fluorescence Diagnostic for the Paul Trap Simulator Experiment

CERN Document Server

Chung, Moses; Efthimion, Philip; Gilson, Erik P; Majeski, Richard; Startsev, Edward

2005-01-01

The Paul Trap Simulator Experiment (PTSX) is a cylindrical Paul trap whose purpose is to simulate the nonlinear dynamics of intense charged particle beam propagation in alternating-gradient magnetic transport systems. For the in-situ measurement of the transverse ion density profile in the PTSX device, which is essential for the study of beam mismatch and halo particle production, a laser-induced fluorescence diagnostic system is being developed. Instead of cesium, which has been used in the initial phase of the PTSX experiment, barium has been selected as the preferred ion for the laser-induced fluorescence diagnostic. The installation of the barium ion source and the characterization of the tunable dye laser system are discussed. The design of the collection optics with an intensified CCD camera system is also discussed. Finally, initial test results using the laser-induced fluorescence diagnostic will be presented.

In vivo diagnostic nuclear medicine. Pediatric experience

International Nuclear Information System (INIS)

Goetz, W.A.; Hendee, W.R.; Gilday, D.L.

1983-01-01

The use of radiopharmaceuticals for diagnostic tests in children is increasing and interest in these is evidenced by the addition of scientific sessions devoted to pediatric medicine at annual meetings of The Society of Nuclear Medicine and by the increase in the literature on pediatric dosimetry. Data presented in this paper describe the actual pediatric nuclear medicine experience from 26 nationally representative U.S. hospitals and provide an overview of the pediatric procedures being performed the types of radiopharmaceuticals being used, and the activity levels being administered

Indonesia's experience with IAEA-CRP on radiation protection in diagnostic radiology

International Nuclear Information System (INIS)

Nasukha

2001-01-01

IAEA-CRP on Radiation Doses in Diagnostic Radiology and Methods for Dose Reduction has as participants some Asian and East European countries. Indonesia is one of participants that followed the IAEA program. This paper is not a discussion of CRP-results since it will be published as a TECDOC soon. But the work on evaluation of examination frequencies, film reject rate analysis, patient dose measurements, image quality before and after Quality Control (QC) and QC itself, gave some experiences to investigators to be explored and presented. Experiences could be in the form of problems, how to solve problems and some suggestions, starting from no QC up to complicated QC to be faced in conventional radiography to CT-scan and fluoroscopy units. These valuable experiences of Indonesia are proven exercise of IAEA-CRP as a good start for next CRP or national projects in diagnostic radiology. (author)

Does sex influence the diagnostic evaluation of autism spectrum disorder in adults?

Science.gov (United States)

Wilson, C Ellie; Murphy, Clodagh M; McAlonan, Grainne; Robertson, Dene M; Spain, Debbie; Hayward, Hannah; Woodhouse, Emma; Deeley, P Quinton; Gillan, Nicola; Ohlsen, J Chris; Zinkstok, Janneke; Stoencheva, Vladimira; Faulkner, Jessica; Yildiran, Hatice; Bell, Vaughan; Hammond, Neil; Craig, Michael C; Murphy, Declan GM

2016-01-01

It is unknown whether sex influences the diagnostic evaluation of autism spectrum disorder, or whether male and female adults within the spectrum have different symptom profiles. This study reports sex differences in clinical outcomes for 1244 adults (935 males and 309 females) referred for autism spectrum disorder assessment. Significantly, more males (72%) than females (66%) were diagnosed with an autism spectrum disorder of any subtype (x2 = 4.09; p = 0.04). In high-functioning autism spectrum disorder adults (IQ > 70; N = 827), there were no significant sex differences in severity of socio-communicative domain symptoms. Males had significantly more repetitive behaviours/restricted interests than females (p = 0.001, d = 0.3). A multivariate analysis of variance indicated a significant interaction between autism spectrum disorder subtype (full-autism spectrum disorder/partial-autism spectrum disorder) and sex: in full-autism spectrum disorder, males had more severe socio-communicative symptoms than females; for partial-autism spectrum disorder, the reverse was true. There were no sex differences in prevalence of co-morbid psychopathologies. Sex influenced diagnostic evaluation in a clinical sample of adults with suspected autism spectrum disorder. The sexes may present with different manifestations of the autism spectrum disorder phenotype and differences vary by diagnostic subtype. Understanding and awareness of adult female repetitive behaviours/restricted interests warrant attention and sex-specific diagnostic assessment tools may need to be considered. PMID:26802113

Molecular Diagnostic Experience of Whole-Exome Sequencing in Adult Patients

Science.gov (United States)

Posey, Jennifer E.; Rosenfeld, Jill A.; James, Regis A.; Bainbridge, Matthew; Niu, Zhiyv; Wang, Xia; Dhar, Shweta; Wiszniewski, Wojciech; Akdemir, Zeynep H.C.; Gambin, Tomasz; Xia, Fan; Person, Richard E.; Walkiewicz, Magdalena; Shaw, Chad A.; Sutton, V. Reid; Beaudet, Arthur L.; Muzny, Donna; Eng, Christine M.; Yang, Yaping; Gibbs, Richard A.; Lupski, James R.; Boerwinkle, Eric; Plon, Sharon E.

2015-01-01

Purpose Whole exome sequencing (WES) is increasingly used as a diagnostic tool in medicine, but prior reports focus on predominantly pediatric cohorts with neurologic or developmental disorders. We describe the diagnostic yield and characteristics of whole exome sequencing in adults. Methods We performed a retrospective analysis of consecutive WES reports for adults from a diagnostic laboratory. Phenotype composition was determined using Human Phenotype Ontology terms. Results Molecular diagnoses were reported for 17.5% (85/486) of adults, lower than a primarily pediatric population (25.2%; p=0.0003); the diagnostic rate was higher (23.9%) in those 18–30 years of age compared to patients over 30 years (10.4%; p=0.0001). Dual Mendelian diagnoses contributed to 7% of diagnoses, revealing blended phenotypes. Diagnoses were more frequent among individuals with abnormalities of the nervous system, skeletal system, head/neck, and growth. Diagnostic rate was independent of family history information, and de novo mutations contributed to 61.4% of autosomal dominant diagnoses. Conclusion Early WES experience in adults demonstrates molecular diagnoses in a substantial proportion of patients, informing clinical management, recurrence risk and recommendations for relatives. A positive family history was not predictive, consistent with molecular diagnoses often revealed by de novo events, informing the Mendelian basis of genetic disease in adults. PMID:26633545

Applications of FASTBUS to beam diagnostics and experiment data systems

International Nuclear Information System (INIS)

Machen, D.R.

1983-01-01

A five-year effort by the North American NIM Committee, in collaboration with the ESONE Committee of European Laboratories, has resulted in a specification for the FASTBUS modular high-speed data-acquisition system. The system is designed around an emitter-coupled logic (ECL) 32-bit data bus for asynchronous data transmission at 100 ns per transaction. Initial applications of FASTBUS will be in experiment data systems at accelerator facilities worldwide--beam diagnostic data systems on the accelerator side and particle-beam experiment data systems in the experimental area. As the specification (and the resulting hardware and software) matures, real-time machine-control applications will become possible. This paper discusses the near-term use of FASTBUS in accelerator beam-diagnostics instrumentation systems, where an extra increment in system throughput and front-end processing speed can produce a greater understanding of the physical phenomena under study. The arguments and conclusions may be equally well applied to other similar data-handling problems requiring high bandwidth in the data system

Influence of a source line position on results of EM observations applied to the diagnostics of underground heating system pipelines in urban area

Science.gov (United States)

Vetrov, A.

2009-05-01

The condition of underground constructions, communication and supply systems in the cities has to be periodically monitored and controlled in order to prevent their breakage, which can result in serious accident, especially in urban area. The most risk of damage have the underground construction made of steal such as pipelines widely used for water, gas and heat supply. To ensure the pipeline survivability it is necessary to carry out the operative and inexpensive control of pipelines condition. Induced electromagnetic methods of geophysics can be applied to provide such diagnostics. The highly developed surface in urbane area is one of cause hampering the realization of electromagnetic methods of diagnostics. The main problem is in finding of an appropriate place for the source line and electrodes on a limited surface area and their optimal position relative to the observation path to minimize their influence on observed data. Author made a number of experiments of an underground heating system pipeline diagnostics using different position of the source line and electrodes. The experiments were made on a 200 meters section over 2 meters deep pipeline. The admissible length of the source line and angle between the source line and the observation path were determined. The minimal length of the source line for the experiment conditions and accuracy made 30 meters, the maximum admissible angle departure from the perpendicular position made 30 degrees. The work was undertaken in cooperation with diagnostics company DIsSO, Saint-Petersburg, Russia.

Comorbidity negatively influences the outcomes of diagnostic tests for musculoskeletal pain in the orofacial region

NARCIS (Netherlands)

Koutris, M.; Visscher, C.M.; Lobbezoo, F.; Naeije, M.

2013-01-01

The aim of this study was to investigate whether diagnostic tests for musculoskeletal pain in the orofacial region [temporomandibular disorder (TMD) pain] are influenced by the presence of comorbid conditions, and to determine whether this influence decreases when the presence of "familiar pain" is

Molecular diagnostic experience of whole-exome sequencing in adult patients.

Science.gov (United States)

Posey, Jennifer E; Rosenfeld, Jill A; James, Regis A; Bainbridge, Matthew; Niu, Zhiyv; Wang, Xia; Dhar, Shweta; Wiszniewski, Wojciech; Akdemir, Zeynep H C; Gambin, Tomasz; Xia, Fan; Person, Richard E; Walkiewicz, Magdalena; Shaw, Chad A; Sutton, V Reid; Beaudet, Arthur L; Muzny, Donna; Eng, Christine M; Yang, Yaping; Gibbs, Richard A; Lupski, James R; Boerwinkle, Eric; Plon, Sharon E

2016-07-01

Whole-exome sequencing (WES) is increasingly used as a diagnostic tool in medicine, but prior reports focus on predominantly pediatric cohorts with neurologic or developmental disorders. We describe the diagnostic yield and characteristics of WES in adults. We performed a retrospective analysis of consecutive WES reports for adults from a diagnostic laboratory. Phenotype composition was determined using Human Phenotype Ontology terms. Molecular diagnoses were reported for 17.5% (85/486) of adults, which is lower than that for a primarily pediatric population (25.2%; P = 0.0003); the diagnostic rate was higher (23.9%) for those 18-30 years of age compared to patients older than 30 years (10.4%; P = 0.0001). Dual Mendelian diagnoses contributed to 7% of diagnoses, revealing blended phenotypes. Diagnoses were more frequent among individuals with abnormalities of the nervous system, skeletal system, head/neck, and growth. Diagnostic rate was independent of family history information, and de novo mutations contributed to 61.4% of autosomal dominant diagnoses. Early WES experience in adults demonstrates molecular diagnoses in a substantial proportion of patients, informing clinical management, recurrence risk, and recommendations for relatives. A positive family history was not predictive, consistent with molecular diagnoses often revealed by de novo events, informing the Mendelian basis of genetic disease in adults.Genet Med 18 7, 678-685.

Spiral-CT-angiography of acute pulmonary embolism: factors that influence the implementation into standard diagnostic algorithms

International Nuclear Information System (INIS)

Bankier, A.; Herold, C.J.; Fleischmann, D.; Janata-Schwatczek, K.

1998-01-01

Purpose: Debate about the potential implementation of Spiral-CT in diagnostic algorithms of pulmonary embolism are often focussed on sensitivity and specificity in the context of comparative methodologic studies. We intend to investigate whether additional factors might influence this debate. Results: The factors availability, acceptance, patient-outcome, and cost-effectiveness-studies do have substantial influence on the implementation of Spiral-CT in the diagnostic algorithms of pulmonary embolism. Incorporation of these factors into the discussion might lead to more flexible and more patient-oriented algorithms for the diagnosis of pulmonary embolism. Conclusion: Availability of equipment, acceptance among clinicians, patient-out-come, and cost-effectiveness evaluations should be implemented into the debate about potential implementation of Spiral-CT in routine diagnostic imaging algorithms of pulmonary embolism. (orig./AJ) [de

Development of soft x-ray tracer diagnostics for hohlraum experiments

International Nuclear Information System (INIS)

MacFarlane, J.J.; Cohen, D.H.; Wang, P.; Peterson, R.R.; Moses, G.A.

1998-04-01

The purpose of this report is to summarize work performed by the University of Wisconsin during fiscal year 1996 under the NLUF contract DE-FG-96SF21015. This contract involved the development of soft x-ray spectral diagnostics from tracer layers in hohlraum witness plates. This effort was originally intended to be focused on OMEGA experiments, but the experiments were changed to NOVA because initial indirect drive shots had not yet been performed on the OMEGA upgrade. Data were collected in a series of experiments between January 1997 and October 1997. Experiments were delayed somewhat due to bringing up the Hettrick spectrometer on the NOVA target chamber. The tasks related to the planning, carrying out, and modeling of the experiments are outlined in Table 1.1 and detailed in the remainder of this report

Does Sex Influence the Diagnostic Evaluation of Autism Spectrum Disorder in Adults?

Science.gov (United States)

Wilson, C. Ellie; Murphy, Clodagh M.; McAlonan, Grainne; Robertson, Dene M.; Spain, Debbie; Hayward, Hannah; Woodhouse, Emma; Deeley, P. Quinton; Gillan, Nicola; Ohlsen, J. Chris; Zinkstok, Janneke; Stoencheva, Vladimira; Faulkner, Jessica; Yildiran, Hatice; Bell, Vaughan; Hammond, Neil; Craig, Michael C.; Murphy, Declan G. M.

2016-01-01

It is unknown whether sex influences the diagnostic evaluation of autism spectrum disorder, or whether male and female adults within the spectrum have different symptom profiles. This study reports sex differences in clinical outcomes for 1,244 adults (935 males and 309 females) referred for autism spectrum disorder assessment. Significantly, more…

Influence of patellar type and localization on chondromaliacia of patella, magnetic resonanse diagnostics

OpenAIRE

Žukauskas, Tomas

2017-01-01

Tomas Žukauskas Master’s thesis – influence of patellar type and localization on chondromaliacia of patella, magnetic resonanse diagnostics. Academic supervisor Prof. Eglė Monastyreckienė. Place of study was Lithuanian University of Health Sciences, Radiology department. The aim of study: to investigate the link between patellar type and localization with chondromaliacia of the patella using magnetic resonanse imaging. The objectives were: to investigate patellar type’s influence on its ch...

Status of the Tandem Mirror Experiment-Upgrade (TMX-U) diagnostic system

International Nuclear Information System (INIS)

Coutts, G.W.; Coffield, F.E.; Hornady, R.S.

1983-01-01

This paper presents the current status of the Tandem Mirror Experiment-Upgrade (TMX-U) diagnostics system. For the initial instruments active on TMX-U, the expansions or upgrades that have been implemented are outlined. For the newly added systems, more implementation details are presented

Comprehensive diagnostic set for intense lithium ion hohlraum experiments on PBFA II

International Nuclear Information System (INIS)

Leeper, R.J.; Bailey, J.E.; Carlson, A.L.

1994-01-01

A review of the comprehensive diagnostic package developed at Sandia National Laboratories for intense lithium ion hohlraum target experiments on PBFA II will be presented. This package contains an extensive suite of x-ray spectral and imaging diagnostics that enable measurements of target radiation smoothing, hydro-motion, and temperature. The x-ray diagnostics include time-integrated and time-resolved pinhole cameras, energy-resolved 1-D streaked imaging diagnostics that enable measurements of target radiation smoothing, hydro-motion, and temperature. The x-ray diagnostics include time-integrated and time-resolved pinhole cameras, energy-resolved 1-D streaked imaging diagnostics, time-integrated and time-resolved grazing incidence spectrographs, a transmission grating spectrography, an elliptical crystal spectrograph, a bolometer array, an eleven element x-ray diode (XRD) array, and an eleven element PIN diode detector array. A hohlraum temperature measurement technique under development is a shock breakout diagnostic that measures the radiation pressure at the hohlraum wall. The incident Li beam symmetry and an estimate of incident Li beam power density are measured from ion beam-induced characteristic x-ray line and neutron emissions. An attempt to measure the Li beam intensity directly on target used Rutherford scattered ions into an ion movie camera and a magnetic spectrograph. The philosophy used in designing all the diagnostics in the set has emphasized redundant and independent measurements of fundamental physical quantities relevant to the performance of the target. Details of each diagnostic, its integration, data reduction procedures, and recent PBFA-II data will be discussed

Diagnostics for liquid lithium experiments in CDX-U

International Nuclear Information System (INIS)

Kaita, R.; Efthimion, P.; Hoffman, D.; Jones, B.; Kugel, H.; Majeski, R.; Munsat, T.; Raftopoulos, S.; Taylor, G.; Timberlake, J.; Soukhanovskii, V.; Stutman, D.; Iovea, M.; Finkenthal, M.; Doerner, R.; Luckhardt, S.; Maingi, R.; Causey, R.

2000-01-01

A flowing liquid lithium first wall or diverter target could virtually eliminate the concerns with power density and erosion, tritium retention, and cooling associated with solid walls in fusion reactors. To investigate the interaction of a spherical torus plasma with liquid lithium limiters, large area diverter targets, and walls, discharges will be established in the Current Drive Experiment-Upgrade (CDX-U) where the plasma-wall interactions are dominated by liquid lithium surfaces. Among the unique CDX-U lithium diagnostics is a multi-layer mirror (MLM) array, which will monitor the 135 (angstrom) LiIII line for core lithium concentrations. Additional spectroscopic diagnostics include a grazing incidence XUV spectrometer (STRS) and a filterscope system to monitor D α and various impurity lines local to the lithium limiter. Profile data will be obtained with a multichannel tangential bolometer and a multipoint Thomson scattering system configured to give enhanced edge resolution. Coupons on th e inner wall of the CDX-U vacuum vessel will be used for surface analysis. A 10,000 frame per second fast visible camera and an IR camera will also be available

Experiences with 'on-line' diagnostic instrumentation in nuclear power plants

International Nuclear Information System (INIS)

Gopal, R.; Ciaramitaro, W.; Smith, J.R.

1981-01-01

Over the past several years, Westinghouse has developed a coordinated system of on-line diagnostic instrumentation for the acquisition and analysis of data for diagnostics and incipient failure detection of critical plant equipment and systems. Primary motivation for this work is to improve Nuclear Steam Supply System (NSSS) availability and maintainability through the detection of malfunctions at their inception. These systems include: 1) Acoustic leak monitoring for detection and location of leaks in the primary system pressure boundary and other piping systems in PWR's; 2) Metal impact monitoring for detection of loose debris in the reactor vessel and steam generators; 3) Nuclear noise monitoring for monitoring core barrel vibration. Summarized in this paper are some of the features of the systems and inplant experience. (author)

Advanced diagnostics for laser plasma interaction studies and some recent experiments

International Nuclear Information System (INIS)

Chaurasia, S.; Munda, D.S.; Dhareshwar, L.J.

2008-10-01

The complete characterization of Laser plasma interaction studies related to inertial confinement fusion laser and Equation of state (EOS) studies needs many diagnostics to explain the several physical phenomena occurring simultaneously in the laser produced plasma. This involves many on ion emission are important to understand physical phenomena which are responsible for generation of laser plasma as well as its interaction with an intense laser. In this report we describe the development of various x-ray diagnostics which are used in determining temporal, spatial and spectral properties of x-rays radiated from laser produced plasma. Diagnostics which have been used in experiments for investigation of laser-produced plasma as a source of ions are also described. Techniques using an optical streak camera and VISAR which are being used in the Equation of States (EOS) studies of various materials, which are important for material science, astrophysics as well as ICF is described in details. (author)

Laser Induced Fluorescence Diagnostic for the Plasma Couette Experiment

Science.gov (United States)

Katz, Noam; Skiff, Fred; Collins, Cami; Weisberg, Dave; Wallace, John; Clark, Mike; Garot, Kristine; Forest, Cary

2010-11-01

The Plasma Couette Experiment (PCX) at U. Wisconsin-Madison consists of a rotating high-beta plasma and is well-suited to the study of flow-driven, astrophysically-relevant plasma phenomena. PCX confinement relies on alternating rings of 1kG permanent magnets and the rotation is driven by electrode rings, interspersed between the magnets, which provide an azimuthal ExB. I will discuss the development of a laser-induced fluorescence diagnostic (LIF) to characterize the ion distribution function of argon plasmas in PCX. The LIF system--which will be scanned radially--will be used to calibrate internal Mach probes, as well as to measure the time-resolved velocity profile, ion temperature and density non-perturbatively. These diagnostics will be applied to study the magneto-rotational instability in a plasma, as well as the buoyancy instability thought to be involved in producing the solar magnetic field. This work is supported by NSF and DOE.

Liner Stability Experiments at Pegasus: Diagnostics and Experimental Results

International Nuclear Information System (INIS)

Clark, D.A.; Morgan, D.V.; Rodriguez, G.

1998-01-01

A series of experiments to compare imploding liner performance with magneto-hydrodynamic (MHD) modeling has been performed at the Los Alamos National Laboratory Pegasus II pulse power machine. Liner instability growth originating from initial perturbations machined into the liner has been observed with high resolution. Three major diagnostics were used: radiography, Velocity Interferometer for a Surface of Any Reflector (VISAR), and fiber optic impact pins. For radiography, three flash x-ray units were mounted radially to observe liner shape at three different times during the implosion. Liner velocity was measured continuously with the VISAR for the entire distance traveled in two experiments. Optical impact pins provide a high-resolution measure of liner symmetry and shape near the end of travel. Liner performance has compared well with predictions

Affective Beliefs Influence the Experience of Eating Meat

OpenAIRE

Anderson, Eric C.; Barrett, Lisa Feldman

2016-01-01

People believe they experience the world objectively, but research continually demonstrates that beliefs influence perception. Emerging research indicates that beliefs influence the experience of eating. In three studies, we test whether beliefs about how animals are raised can influence the experience of eating meat. Samples of meat were paired with descriptions of animals raised on factory farms or raised on humane farms. Importantly, the meat samples in both conditions were identical. Howe...

Modeling sequential context effects in diagnostic interpretation of screening mammograms.

Science.gov (United States)

Alamudun, Folami; Paulus, Paige; Yoon, Hong-Jun; Tourassi, Georgia

2018-07-01

Prior research has shown that physicians' medical decisions can be influenced by sequential context, particularly in cases where successive stimuli exhibit similar characteristics when analyzing medical images. This type of systematic error is known to psychophysicists as sequential context effect as it indicates that judgments are influenced by features of and decisions about the preceding case in the sequence of examined cases, rather than being based solely on the peculiarities unique to the present case. We determine if radiologists experience some form of context bias, using screening mammography as the use case. To this end, we explore correlations between previous perceptual behavior and diagnostic decisions and current decisions. We hypothesize that a radiologist's visual search pattern and diagnostic decisions in previous cases are predictive of the radiologist's current diagnostic decisions. To test our hypothesis, we tasked 10 radiologists of varied experience to conduct blind reviews of 100 four-view screening mammograms. Eye-tracking data and diagnostic decisions were collected from each radiologist under conditions mimicking clinical practice. Perceptual behavior was quantified using the fractal dimension of gaze scanpath, which was computed using the Minkowski-Bouligand box-counting method. To test the effect of previous behavior and decisions, we conducted a multifactor fixed-effects ANOVA. Further, to examine the predictive value of previous perceptual behavior and decisions, we trained and evaluated a predictive model for radiologists' current diagnostic decisions. ANOVA tests showed that previous visual behavior, characterized by fractal analysis, previous diagnostic decisions, and image characteristics of previous cases are significant predictors of current diagnostic decisions. Additionally, predictive modeling of diagnostic decisions showed an overall improvement in prediction error when the model is trained on additional information about

Integrated Program of Experimental Diagnostics at the NNSS: An Integrated, Prioritized Work Plan for Diagnostic Development and Maintenance and Supporting Capability

International Nuclear Information System (INIS)

2010-01-01

This Integrated Program of Experimental Diagnostics at the NNSS is an integrated prioritized work plan for the Nevada National Security Site (NNSS), formerly the Nevada Test Site (NTS), program that is independent of individual National Security Enterprise Laboratories (Labs) requests or specific Subprograms being supported. This prioritized work plan is influenced by national priorities presented in the Predictive Capability Framework (PCF) and other strategy documents (Primary and Secondary Assessment Technologies Plans and the Plutonium Experiments Plan). This document satisfies completion criteria for FY 2010 MRT milestone No.3496: Document an integrated, prioritized work plan for diagnostic development, maintenance, and supporting capability. This document is an update of the 3-year NNSS plan written a year ago, September 21, 2009, to define and understand Lab requests for diagnostic implementation. This plan is consistent with Lab interpretations of the PCF, Primary Assessment Technologies, and Plutonium Experiment plans.

Diagnostics for the Plasma Liner Experiment

International Nuclear Information System (INIS)

Lynn, A. G.; Merritt, E.; Gilmore, M.; Hsu, S. C.; Witherspoon, F. D.; Cassibry, J. T.

2010-01-01

The goal of the Plasma Liner Experiment (PLX) is to explore and demonstrate the feasibility of forming imploding spherical ''plasma liners'' via merging high Mach number plasma jets to reach peak liner pressures of ∼0.1 Mbar using ∼1.5 MJ of initial stored energy. Such a system would provide HED plasmas for a variety of fundamental HEDLP, laboratory astrophysics, and materials science studies, as well as a platform for experimental validation of rad-hydro and rad-MHD simulations. It could also prove attractive as a potential standoff driver for magnetoinertial fusion. Predicted parameters from jet formation to liner stagnation cover a large range of plasma density and temperature, varying from n i ∼10 16 cm -3 , T e ≅T i ∼1 eV at the plasma gun mouth to n i >10 19 cm -3 , T e ≅T i ∼0.5 keV at stagnation. This presents a challenging problem for the plasma diagnostics suite which will be discussed.

Final-year diagnostic radiography students' perception of role models within the profession.

Science.gov (United States)

Conway, Alinya; Lewis, Sarah; Robinson, John

2008-01-01

Within a clinical education setting, the value of role models and prescribed mentors can be seen as an important influence in shaping the student's future as a diagnostic radiographer. A study was undertaken to create a new understanding of how diagnostic radiography students perceive role models and professional behavior in the workforce. The study aimed to determine the impact of clinical education in determining modeling expectations, role model identification and attributes, and the integration of academic education and "hands-on" clinical practice in preparing diagnostic radiography students to enter the workplace. Thirteen final-year (third-year) diagnostic radiography students completed an hour-long interview regarding their experiences and perceptions of role models while on clinical placement. The key concepts that emerged illustrated that students gravitate toward radiographers who enjoy sharing practical experiences with students and are good communicators. Unique to diagnostic radiography, students made distinctions about the presence of role models in private versus public service delivery. This study gives insight to clinical educators in diagnostic radiography and wider allied health into how students perceive role models, interact with preceptors, and combine real-life experiences with formal learning.

Our experience on the diagnostic possibilities of pancreas scintigraphy

International Nuclear Information System (INIS)

Centi Colella, A.; Pistoni, F.

1975-01-01

Several years experience on the real diagnostic possibilities of a pancreas scintigraphy method are reported, with special reference to the differentiation between malignant neoplasias and chronic pancreatitis. In this respect, account is taken of certain eminently functional parameters which can be determined by traditional scintigraphy and by sequential static scintigraphy with the Anger gamma camera. The parameters in question are: degree of definition of the pancreas image; amount of 75 Se-labelled selenomethionine uptake by the stomach and the jejunum; time of appearance of the pancreatic radioactivity [fr

Our experience on the diagnostic possibilities of pancreas scintigraphy

Energy Technology Data Exchange (ETDEWEB)

Centi Colella, A; Pistoni, F [Rome Univ. (Italy)

1975-01-01

Several years experience on the real diagnostic possibilities of a pancreas scintigraphy method are reported, with special reference to the differentiation between malignant neoplasias and chronic pancreatitis. In this respect, account is taken of certain eminently functional parameters which can be determined by traditional scintigraphy and by sequential static scintigraphy with the Anger gamma camera. The parameters in question are: degree of definition of the pancreas image; amount of /sup 75/Se-labelled selenomethionine uptake by the stomach and the jejunum; time of appearance of the pancreatic radioactivity.

An electro-optical timing diagnostic for pump-probe experiments at the free-electron laser in Hamburg FLASH

International Nuclear Information System (INIS)

Azima, Armin

2009-07-01

Femtosecond pump-probe experiments have extensively been used to follow atomic and molecular motion in time. The very intense extreme ultraviolet XUV light of the Free electron LASer in Hamburg FLASH facility allows to investigate fundamental processes such as direct one or few photon inner shell ionizations. A supplementary Ti:Sapphire near infrared femtosecond laser system allows to perform two-color pump-probe experiments with FLASH involving intense laser fields of hugely different photon energies. Within this work a bunch arrival measurement system has been built, which assists these two-color pump-probe experiments to reduce the temporal jitter of FLASH and to increase the temporal resolution. The diagnostic is based upon an electro-optical detection scheme and measures the relative arrival time between the Ti:Sapphire femtosecond pulse and the electron bunch, which generates the self-amplified by stimulated emission SASE XUV pulse in the undulator section of FLASH. Key feature of the diagnostic is a 150 m long glass fiber pulse transport line, which inflicts non-linear dispersion. A dispersion control system to compensate for this higher order dispersion has been developed including the control and programming of a spatial light phase modulator. It was possible to transport a 90 fs FWHM short near infrared femtosecond laser pulse Fourier limited by the dispersion compensated glass fiber. The electro-optical signal induced by the FLASH electron bunch was generated, characterized and optimized. The signal features beside the designated bunch arrival timing capability the additional possibility to measure the longitudinal electron bunch density distribution of an arbitrary bunch of FLASH in a single shot with a temporal resolution of below 100 fs RMS. Timing and bunch analysis capabilities of the developed diagnostic have been cross-checked with other comparable diagnostics at FLASH like the transversal deflecting cavity structure named LOLA. Finally, the

An electro-optical timing diagnostic for pump-probe experiments at the free-electron laser in Hamburg FLASH

Energy Technology Data Exchange (ETDEWEB)

Azima, Armin

2009-07-15

Femtosecond pump-probe experiments have extensively been used to follow atomic and molecular motion in time. The very intense extreme ultraviolet XUV light of the Free electron LASer in Hamburg FLASH facility allows to investigate fundamental processes such as direct one or few photon inner shell ionizations. A supplementary Ti:Sapphire near infrared femtosecond laser system allows to perform two-color pump-probe experiments with FLASH involving intense laser fields of hugely different photon energies. Within this work a bunch arrival measurement system has been built, which assists these two-color pump-probe experiments to reduce the temporal jitter of FLASH and to increase the temporal resolution. The diagnostic is based upon an electro-optical detection scheme and measures the relative arrival time between the Ti:Sapphire femtosecond pulse and the electron bunch, which generates the self-amplified by stimulated emission SASE XUV pulse in the undulator section of FLASH. Key feature of the diagnostic is a 150 m long glass fiber pulse transport line, which inflicts non-linear dispersion. A dispersion control system to compensate for this higher order dispersion has been developed including the control and programming of a spatial light phase modulator. It was possible to transport a 90 fs FWHM short near infrared femtosecond laser pulse Fourier limited by the dispersion compensated glass fiber. The electro-optical signal induced by the FLASH electron bunch was generated, characterized and optimized. The signal features beside the designated bunch arrival timing capability the additional possibility to measure the longitudinal electron bunch density distribution of an arbitrary bunch of FLASH in a single shot with a temporal resolution of below 100 fs RMS. Timing and bunch analysis capabilities of the developed diagnostic have been cross-checked with other comparable diagnostics at FLASH like the transversal deflecting cavity structure named LOLA. Finally, the

Diagnostic system and diagnostic experiences at the Paks Nuclear Power Plant

International Nuclear Information System (INIS)

Katona, Tamas

1986-01-01

The major functions of the diagnostic system of the first two units of the Paks Nuclear Power Plant are as follows: monitoring the mechanical integrity of the reactor and the primary coolant circuit by means of vibration diagnostics; leakage detection of the primary coolant circuit by means of high frequency sonic analysis; loose parts monitoring based on the analysis of high frequency signals of acceleration detectors; and monitoring the vibration state of the turbines and rotary machines by the latter method or by a procedure based on the detection of mechanical vibrations. Up-to-date vibration diagnostics is based on the information supplied by either acceleration detectors or pressure fluctuation detectors, or in-core and ex-core neutron detectors. (V.N.)

Diagnostics for Z-pinch implosion experiments on PTS

Energy Technology Data Exchange (ETDEWEB)

Ren, X. D., E-mail: amosrxd@163.com; Huang, X. B., E-mail: amosrxd@163.com; Zhou, S. T., E-mail: amosrxd@163.com; Zhang, S. Q., E-mail: amosrxd@163.com; Dan, J. K., E-mail: amosrxd@163.com; Li, J., E-mail: amosrxd@163.com; Cai, H. C., E-mail: amosrxd@163.com; Wang, K. L., E-mail: amosrxd@163.com; Ouyang, K., E-mail: amosrxd@163.com; Xu, Q., E-mail: amosrxd@163.com; Duan, S. C., E-mail: amosrxd@163.com; Chen, G. H., E-mail: amosrxd@163.com; Wang, M., E-mail: amosrxd@163.com; Feng, S. P., E-mail: amosrxd@163.com; Yang, L. B., E-mail: amosrxd@163.com; Xie, W. P., E-mail: amosrxd@163.com; Deng, J. J., E-mail: amosrxd@163.com [Key Lab of Pulsed Power, Institute of Fluid Physics, CAEP, P.O. Box 919-108, Mianyang, Sichuan 621999 (China)

2014-12-15

The preliminary experiments of wire array implosion were performed on PTS, a 10 MA z-pinch driver with a 70 ns rise time. A set of diagnostics have been developed and fielded on PTS to study pinch physics and implosion dynamics of wire array. Radiated power measurement for soft x-rays was performed by multichannel filtered x-ray diode array, and flat spectral responses x-ray diode detector. Total x-ray yield was measured by a calibrated, unfiltered nickel bolometer which was also used to obtain pinch power. Multiple time-gated pinhole cameras were used to produce spatial-resolved images of x-ray self-emission from plasmas. Two time-integrated pinhole cameras were used respectively with 20-μm Be filter and with multilayer mirrors to record images produced by >1-keV and 277±5 eV self-emission. An optical streak camera was used to produce radial implosion trajectories, and an x-ray streak camera paired with a horizontal slit was used to record a continuous time-history of emission with one-dimensional spatial resolution. A frequency-doubled Nd:YAG laser (532 nm) was used to produce four frame laser shadowgraph images with 6 ns time interval. We will briefly describe each of these diagnostics and present some typical results from them.

Plasma diagnostic techniques in thermal-barrier tandem-mirror fusion experiments

International Nuclear Information System (INIS)

Silver, E.H.; Clauser, J.F.; Carter, M.R.; Failor, B.H.; Foote, J.H.; Hornady, R.S.; James, R.A.; Lasnier, C.J.; Perkins, D.E.

1986-01-01

We review two classes of plasma diagnostic techniques used in thermal-barrier tandem-mirror fusion experiments. The emphasis of the first class is to study mirror-trapped electrons at the thermal-barrier location. The focus of the second class is to measure the spatial and temporal behavior of the plasma space potential at various axial locations. The design and operation of the instruments in these two categories are discussed and data that are representative of their performance is presented

MTX [Microwave Tokamak Experiment] plasma diagnostic system

International Nuclear Information System (INIS)

Rice, B.W.; Hooper, E.B.; Brooksby, C.A.

1987-01-01

In this paper, a general overview of the MTX plasma diagnostics system is given. This includes a description of the MTX machine configuration and the overall facility layout. The data acquisition system and techniques for diagnostic signal transmission are also discussed. In addition, the diagnostic instruments planned for both an initial ohmic-heating set and a second FEL-heating set are described. The expected range of plasma parameters along with the planned plasma measurements will be reviewed. 7 refs., 5 figs

Development of procedures to ensure quality and integrity in Tandem Mirror Experiment-Upgrade (TMX-U) diagnostics systems

International Nuclear Information System (INIS)

Coutts, G.W.; Coon, M.L.; Hinz, A.F.; Hornady, R.S.; Lang, D.D.; Lund, N.P.

1983-01-01

The diagnostic systems for Tandem Mirror Experiment-Upgrade (TMX-U) have grown from eleven initial systems to more than twenty systems. During operation, diagnostic system modifications are sometimes required to complete experimental objectives. Also, during operations new diagnostic systems are being developed and implemented. To ensure and maintain the quality and integrity of the data signals, a set of plans and systematic actions are being developed. This paper reviews the procedures set in place to maintain the integrity of existing data systems and ensure the performance objectives of new diagnostics being added

Diagnostics for the plasma liner experiment.

Science.gov (United States)

Lynn, A G; Merritt, E; Gilmore, M; Hsu, S C; Witherspoon, F D; Cassibry, J T

2010-10-01

The goal of the Plasma Liner Experiment (PLX) is to explore and demonstrate the feasibility of forming imploding spherical "plasma liners" via merging high Mach number plasma jets to reach peak liner pressures of ∼0.1 Mbar using ∼1.5 MJ of initial stored energy. Such a system would provide HED plasmas for a variety of fundamental HEDLP, laboratory astrophysics, and materials science studies, as well as a platform for experimental validation of rad-hydro and rad-MHD simulations. It could also prove attractive as a potential standoff driver for magnetoinertial fusion. Predicted parameters from jet formation to liner stagnation cover a large range of plasma density and temperature, varying from n(i)∼10(16) cm(-3), T(e)≈T(i)∼1 eV at the plasma gun mouth to n(i)>10(19) cm(-3), T(e)≈T(i)∼0.5 keV at stagnation. This presents a challenging problem for the plasma diagnostics suite which will be discussed.

Quality assurance in diagnostic radiology in Hungary - first experiences in acceptance testing

International Nuclear Information System (INIS)

Porubszky, T.; Pellet, S.; Ballay, L.; Talian, L.; Giczi, F.

2003-01-01

It is a general experience that optimum imaging with minimum patient doses, moreover, the safe operation and long life of X-ray equipment can be assured by regular measurement of technical parameters and checking of their constancy (routine performance testing) only. These tests are generally known as quality control, while together with the so-called corrective actions and its management it is called (physical-technical) quality assurance (QA). In the European Union, Directive 97/43/EURATOM about radiation protection of patients requires - among others - the good practice of (physical-technical) quality assurance. In Hungary, Decree No. 31/2001. (X.3.) of the Minister of Health harmonizes all of its requirements. Acceptance testing of new diagnostic X-ray equipment is assigned to NPHC-NRIRR. QA has been a daily practice in radiation therapy and nuclear medicine for a long time. A National Patient Dose Assessment Programme has also successfully run since 1989. We had, however, only few preliminaries in QA in diagnostic radiology in the second half of the eighties. Nowadays there are running QA programmes in some hospitals and mammography centres. he testing activity of our institute is independent from manufacturers, it is run within the frame of an accredited testing laboratory, using calibrated measuring instruments and based on valid international standards. So the started way of implementing QA in diagnostic radiology needs a lot of further efforts, adapting experiences of other countries, and also some financial help to reach an acceptable level in the EU. (authors)

Vertigo in childhood: proposal for a diagnostic algorithm based upon clinical experience.

Science.gov (United States)

Casani, A P; Dallan, I; Navari, E; Sellari Franceschini, S; Cerchiai, N

2015-06-01

The aim of this paper is to analyse, after clinical experience with a series of patients with established diagnoses and review of the literature, all relevant anamnestic features in order to build a simple diagnostic algorithm for vertigo in childhood. This study is a retrospective chart review. A series of 37 children underwent complete clinical and instrumental vestibular examination. Only neurological disorders or genetic diseases represented exclusion criteria. All diagnoses were reviewed after applying the most recent diagnostic guidelines. In our experience, the most common aetiology for dizziness is vestibular migraine (38%), followed by acute labyrinthitis/neuritis (16%) and somatoform vertigo (16%). Benign paroxysmal vertigo was diagnosed in 4 patients (11%) and paroxysmal torticollis was diagnosed in a 1-year-old child. In 8% (3 patients) of cases, the dizziness had a post-traumatic origin: 1 canalolithiasis of the posterior semicircular canal and 2 labyrinthine concussions, respectively. Menière's disease was diagnosed in 2 cases. A bilateral vestibular failure of unknown origin caused chronic dizziness in 1 patient. In conclusion, this algorithm could represent a good tool for guiding clinical suspicion to correct diagnostic assessment in dizzy children where no neurological findings are detectable. The algorithm has just a few simple steps, based mainly on two aspects to be investigated early: temporal features of vertigo and presence of hearing impairment. A different algorithm has been proposed for cases in which a traumatic origin is suspected.

High Resolution, High-Speed Photography, an Increasingly Prominent Diagnostic in Ballistic Research Experiments

International Nuclear Information System (INIS)

Shaw, L.; Muelder, S.

1999-01-01

High resolution, high-speed photography is becoming a prominent diagnostic in ballistic experimentation. The development of high speed cameras utilizing electro-optics and the use of lasers for illumination now provide the capability to routinely obtain high quality photographic records of ballistic style experiments. The purpose of this presentation is to review in a visual manner the progress of this technology and how it has impacted ballistic experimentation. Within the framework of development at LLNL, we look at the recent history of large format high-speed photography, and present a number of photographic records that represent the state of the art at the time they were made. These records are primarily from experiments involving shaped charges. We also present some examples of current photographic technology, developed within the ballistic community, that has application to hydro diagnostic experimentation at large. This paper is designed primarily as an oral-visual presentation. This written portion is to provide general background, a few examples, and a bibliography

[METHODS OF MATHEMATICAL MODELING IN MORPHOLOGICAL DIAGNOSTICS OF CHORNOBYL FACTOR INFLUENCE ON PROSTATE GLAND OF COAL MINERS-- THE CHERNOBYL DISASTER FIGHTERS].

Science.gov (United States)

Danylov, Iu V; Motkov, K V; Shevchenko, T I

2014-01-01

The morphometric estimation of parenchyma and stroma condition included the determination of 25 parameters in a prostate gland at 27 persons. The mathematical model of morphogenesis of prostate gland was created by Bayes' method. The method of differential diagnosis of a prostate gland tissues' changes conditioned by the influence of the Chernobyl factor and/or unfavorable terms of the work in underground coal mines have been worked out. Its practical use provides exactness and reliability of the diagnosis (not less than 95%), independence from the level of the qualification and personal experience of the doctor, allows us to unify, optimize and individualize the diagnostic algorithms, answer the requirements of evidential medicine.

The experiences of health-related quality of life in patients with nonspecific symptoms who undergo a diagnostic evaluation for cancer

DEFF Research Database (Denmark)

Moseholm, Ellen; Lindhardt, Bjarne Oerskov; Rydahl-Hansen, Susan

2017-01-01

The diagnostic phase of cancer can affect health-related quality of life (HRQoL). The aim of this study was to investigate how patients with nonspecific symptoms experience HRQoL while undergoing diagnostic evaluations for cancer. Twenty-one participants who had completed a fast-track evaluation...... of Cancer Quality of Life questionnaire (EORCT-QLQ-C30). Data analysis was based on qualitative content analysis by Krippendorff. The analysis generated six categories: symptoms, physical-, role-, emotional-, cognitive- and social functioning, and the diagnostic fast-track experience. From these categories......, a main theme was identified: Health-related quality of life is not solely affected by the diagnostic process. The results provide a comprehensive understanding of HRQoL in the diagnostic phase of possible cancer, which can be used not only to enhance evidence-based care, but also in the interpretation...

Ultrasonographic diagnosis of ureteral stones: Accuracy and factors influencing on diagnostic sensitivity

Energy Technology Data Exchange (ETDEWEB)

Park, Young Mi; Han, Sang Seok; Chang, Seung Kuk; Joo, Sang Hoo; Lee, Jeong Sik; Eun, Choong Ki [Pusan Paik Hospital, Inje University College of Medicine, Pusan (Korea, Republic of)

1999-12-15

To determine the accuracy of ultrasonographic diagnosis in patients with clinically suspected ureteral stones and to evaluate the factors influencing on the diagnostic sensitivity for the detection of ureteral stone. The patients (115 cases) with proven presence or absence of ureteral stones were included in the study. At first, both sided kidney and proximal ureters were examined on each decubitus position and then middle ureters were done if proximal ureters were visualized. On the supine view, distal ureters and UVJ were scanned through the acoustic window of the filled bladder. KUB (20 cases), IVU (62 cases), AGP (7 cases), RGP (3 cases), ESWL (9 cases), CT (9 cases), and patients' history of spontaneous passage of stones (5 cases) were included as confirmation methods. The sensitivity, specificity, and accuracy of the ultrasonographic diagnosis of ureteral stones were calculated and the factors influencing on the sensitivity on the focus of the position and size of ureteral stone, visibility of ureter, the presence or absence of renal stone and hydronephrosis were analyzed. Of 82 cases with proven ureteral stone, 72 cases were revealed on ultrasonography and there was one false positive examination among 33 cases with proven absence of ureteral stone. The overall diagnostic accuracy was 90%. The ultrasonographic detection rates of ureteral stones as correlated with their locations were 83% (24/29), 100% (11/11), 80% (16/20), and 100% (21/21) of each group of proximal, middle, distal ureter, and UVJ stones. Of 61 stones, those as correlated with their sizes, were 82% (37/45) and 94% (15/16) of each group less than 10 mm and more than 11 mm. Those as correlated with the presence or absence of ureteral visualization on ultrasonography were 92% (69/75) and 43% (3/7) of each group. Those as correlated with presence of absence of renal stones were 85% (41/48) and 91% (31/34) of each group. Those as correlated with presence or absence of hydronephrosis were 89

Nova diagnostics summary

International Nuclear Information System (INIS)

Slivinsky, V.W.; Drake, R.P.

1985-01-01

The authors intend that Nova be the best diagnosed ICF research facility in operation today. The authors experience in providing advanced diagnostics for previous laser systems will be extended at Nova, and will be challenged by the development of new instrumentation to diagnose the more advanced targets made possible by this powerful laser. Previous experience has shown that to understand target performance, the authors must have as complete a set of diagnostics as possible. The Nova diagnostics are divided into two sets: the basic set required for the initial Nova experiments and the more advanced set for later, generally more complex, experiments. The basic set will be operational for the first Nova shots; it was a Nova line item funded with Nova construction money. This basic set is presented in a table

Cognitive aspect of diagnostic errors.

Science.gov (United States)

Phua, Dong Haur; Tan, Nigel C K

2013-01-01

Diagnostic errors can result in tangible harm to patients. Despite our advances in medicine, the mental processes required to make a diagnosis exhibits shortcomings, causing diagnostic errors. Cognitive factors are found to be an important cause of diagnostic errors. With new understanding from psychology and social sciences, clinical medicine is now beginning to appreciate that our clinical reasoning can take the form of analytical reasoning or heuristics. Different factors like cognitive biases and affective influences can also impel unwary clinicians to make diagnostic errors. Various strategies have been proposed to reduce the effect of cognitive biases and affective influences when clinicians make diagnoses; however evidence for the efficacy of these methods is still sparse. This paper aims to introduce the reader to the cognitive aspect of diagnostic errors, in the hope that clinicians can use this knowledge to improve diagnostic accuracy and patient outcomes.

Costs of radon diagnostics and mitigation in school building

International Nuclear Information System (INIS)

Leovic, K.W.; Rector, H.; Nagda, N.

1992-01-01

To determine the costs of radon diagnostics and active soil depressurization (ASD) system installation in schools, seven radon mitigators with extensive experience in school buildings were surveyed. The cost data were determined by providing the mitigators with two scenarios of open-quotes typicalclose quotes school buildings with elevated radon levels. The questionnaire in schools: (1) Review Construction Plans, (2) Conduct Diagnostic Measurements, (3) Design Mitigation System, (4) Purchase ASD Material, and (5) Install and Checkout ASD System. Based on the results of this survey, it is estimated that the average cost of ASD diagnostics and mitigation in a typical school would be roughly $0.50 per ft 2 . However, these costs would be higher in schools with extensive subslab walls, very poor PFE, and lower in simple schools with very good PFE and no subslab barriers to communication. The variations in costs provided by the mitigators are primarily due to the influences of (1) experience and practices of the mitigation companies, (2) ASD system requirements as perceived by the respondents, and (3) the degree of involvement by the school system in the process

Scintillator Based Energetic Ion Loss Diagnostic for the National Spherical Torus Experiment

International Nuclear Information System (INIS)

Darrow, D.S.

2007-01-01

A scintillator based energetic ion loss detector has been built and installed on the National Spherical Torus Experiment (NSTX) to measure the loss of neutral beam ions. The detector is able to resolve the pitch angle and gyroradius of the lost energetic ions. It has a wide acceptance range in pitch angle and energy, and is able to resolve the full, one-half, and one-third energy components of the 80 keV D neutral beams up to the maximum toroidal magnetic field of NSTX. Multiple Faraday cups have been embedded behind the scintillator to allow easy absolute calibration of the diagnostic and to measure the energetic ion loss to several ranges of pitch angle with good time resolution. Several small, vacuum compatible lamps allow simple calibration of the scintillator position within the field of view of the diagnostic's video camera

Scintillator Based Energetic Ion Loss Diagnostic for the National Spherical Torus Experiment

Energy Technology Data Exchange (ETDEWEB)

D.S. Darrow

2007-07-02

A scintillator based energetic ion loss detector has been built and installed on the National Spherical Torus Experiment (NSTX) to measure the loss of neutral beam ions. The detector is able to resolve the pitch angle and gyroradius of the lost energetic ions. It has a wide acceptance range in pitch angle and energy, and is able to resolve the full, one-half, and one-third energy components of the 80 keV D neutral beams up to the maximum toroidal magnetic field of NSTX. Multiple Faraday cups have been embedded behind the scintillator to allow easy absolute calibration of the diagnostic and to measure the energetic ion loss to several ranges of pitch angle with good time resolution. Several small, vacuum compatible lamps allow simple calibration of the scintillator position within the field of view of the diagnostic's video camera.

Laser fusion experiments, facilities and diagnostics at Lawrence Livermore Laboratory

International Nuclear Information System (INIS)

Ahlstrom, H.G.

1980-02-01

The progress of the LLL Laser Fusion Program to achieve high gain thermonuclear micro-explosions is discussed. Many experiments have been successfully performed and diagnosed using the large complex, 10-beam, 30 TW Shiva laser system. A 400 kJ design of the 20-beam Nova laser has been completed. The construction of the first phase of this facility has begun. New diagnostic instruments are described which provide one with new and improved resolution, information on laser absorption and scattering, thermal energy flow, suprathermal electrons and their effects, and final fuel conditions. Measurements were made on the absorption and Brillouin scattering for target irradiations at both 1.064 μm and 532 nm. These measurements confirm the expected increased absorption and reduced scattering at the shorter wavelength. Implosion experiments have been performed which have produced final fuel densities over the range of 10x to 100x liquid DT density

Incidental experiences of affective coherence and incoherence influence persuasion.

Science.gov (United States)

Huntsinger, Jeffrey R

2013-06-01

When affective experiences are inconsistent with activated evaluative concepts, people experience what is called affective incoherence; when affective experiences are consistent with activated evaluative concepts, people experience affective coherence. The present research asked whether incidental feelings of affective coherence and incoherence would regulate persuasion. Experiences of affective coherence and incoherence were predicted and found to influence the processing of persuasive messages when evoked prior to receipt of such messages (Experiments 1 and 3), and to influence the confidence with which thoughts generated by persuasive messages were held when evoked after presentation of such messages (Experiments 2 and 3). These results extend research on affective coherence and incoherence by showing that they exert a broader impact on cognitive activity than originally assumed.

A hybrid framework for quantifying the influence of data in hydrological model calibration

Science.gov (United States)

Wright, David P.; Thyer, Mark; Westra, Seth; McInerney, David

2018-06-01

Influence diagnostics aim to identify a small number of influential data points that have a disproportionate impact on the model parameters and/or predictions. The key issues with current influence diagnostic techniques are that the regression-theory approaches do not provide hydrologically relevant influence metrics, while the case-deletion approaches are computationally expensive to calculate. The main objective of this study is to introduce a new two-stage hybrid framework that overcomes these challenges, by delivering hydrologically relevant influence metrics in a computationally efficient manner. Stage one uses computationally efficient regression-theory influence diagnostics to identify the most influential points based on Cook's distance. Stage two then uses case-deletion influence diagnostics to quantify the influence of points using hydrologically relevant metrics. To illustrate the application of the hybrid framework, we conducted three experiments on 11 hydro-climatologically diverse Australian catchments using the GR4J hydrological model. The first experiment investigated how many data points from stage one need to be retained in order to reliably identify those points that have the hightest influence on hydrologically relevant metrics. We found that a choice of 30-50 is suitable for hydrological applications similar to those explored in this study (30 points identified the most influential data 98% of the time and reduced the required recalibrations by 99% for a 10 year calibration period). The second experiment found little evidence of a change in the magnitude of influence with increasing calibration period length from 1, 2, 5 to 10 years. Even for 10 years the impact of influential points can still be high (>30% influence on maximum predicted flows). The third experiment compared the standard least squares (SLS) objective function with the weighted least squares (WLS) objective function on a 10 year calibration period. In two out of three flow

Recurrent Pneumonia in Children: A Reasoned Diagnostic Approach and a Single Centre Experience.

Science.gov (United States)

Montella, Silvia; Corcione, Adele; Santamaria, Francesca

2017-01-29

Recurrent pneumonia (RP), i.e., at least two episodes of pneumonia in one year or three episodes ever with intercritical radiographic clearing of densities, occurs in 7.7%-9% of children with community-acquired pneumonia. In RP, the challenge is to discriminate between children with self-limiting or minor problems, that do not require a diagnostic work-up, and those with an underlying disease. The aim of the current review is to discuss a reasoned diagnostic approach to RP in childhood. Particular emphasis has been placed on which children should undergo a diagnostic work-up and which tests should be performed. A pediatric case series is also presented, in order to document a single centre experience of RP. A management algorithm for the approach to children with RP, based on the evidence from a literature review, is proposed. Like all algorithms, it is not meant to replace clinical judgment, but it should drive physicians to adopt a systematic approach to pediatric RP and provide a useful guide to the clinician.

IOD influence on the early winter tibetan plateau snow cover: diagnostic analyses and an AGCM simulation

Energy Technology Data Exchange (ETDEWEB)

Yuan, Chaoxia; Tozuka, Tomoki; Yamagata, Toshio [The University of Tokyo, Department of Earth and Planetary Science, Graduate School of Science, Tokyo (Japan)

2012-10-15

Using diagnostic analyses and an AGCM simulation, the detailed mechanism of Indian Ocean Dipole (IOD) influence on the early winter Tibetan Plateau snow cover (EWTPSC) is clarified. In early winter of pure positive IOD years with no co-occurrence of El Nino, the anomalous dipole diabatic heating over the tropical Indian Ocean excites the baroclinic response in the tropics. Since both baroclinic and barotropic components of the basic zonal wind over the Arabian Peninsula increase dramatically in early winter due to the equatorward retreat of the westerly jet, the baroclinic mode excites the barotropic Rossby wave that propagates northeastward and induces a barotropic cyclonic anomaly north of India. This enables the moisture transport cyclonically from the northern Indian Ocean toward the Tibetan Plateau. The convergence of moisture over the plateau explains the positive influence of IOD on the EWTPSC. In contrast, the basic zonal wind over the Arabian Peninsula is weak in autumn. This is not favorable for excitation of the barotropic Rossby wave and teleconnection, even though the IOD-related diabatic heating anomaly in autumn similar to that in early winter exists. This result explains the insignificant (significant positive) partial correlation between IOD and the autumn (early winter) Tibetan Plateau snow cover after excluding the influence of ENSO. The sensitivity experiment forced by the IOD-related SST anomaly within the tropical Indian Ocean well reproduces the baroclinic response in the tropics, the teleconnection from the Arabian Peninsula, and the increased moisture supply to the Tibetan Plateau. Also, the seasonality of the atmospheric response to the IOD is simulated. (orig.)

Transverse beam diagnostics for the XUV seeding experiment at FLASH

Energy Technology Data Exchange (ETDEWEB)

Boedewadt, Joern

2011-12-15

High-gain free-electron lasers (FEL) offer intense, transversely coherent, and ultra short radiation pulses in the extreme ultraviolet, the soft- and the hard-X-ray spectral range. Undulator radiation from spontaneous emission is amplified. Due to the stochastic emission process, the radiation exhibits a low temporal coherence, and the structure of the amplified radiation in the temporal and in the spectral domain shows large shot-to-shot fluctuations. In order to improve the temporal coherence, an external radiation pulse is used to induce (or seed) the FEL process. With this, only a defined wavelength range within the FEL bandwidth is amplified provided that the irradiance of the external radiation exceeds the noise level of the FEL amplifier. In addition to the improved longitudinal coherence, a seeded FEL provides the possibility to perform pump-probe experiments with an expected temporal resolution of the order of the pulse durations. In order to experimentally proof this statement, a test experiment for direct HHG-seeding at wavelength below 40 nm was installed at the free-electron laser facility FLASH at DESY. Crucial for the seeded operation of an FEL is the six-dimensional laser-electron overlap of the seed laser pulses with the electron bunches. Hence, dedicated diagnostics to measure and mechanisms to control the overlap are essential. Within this thesis, a transport beamline for the seed laser beam and the transverse diagnostics for seed laser- and the electron-beam were developed and commissioned. Results of the performance of the seed injection beamline are presented, and first measurements of the seeded operation of the FEL are analyzed and evaluated. (orig.)

Influencing supervisor ratings : three quasi-experiments

OpenAIRE

Langeland, Synne; Lindahl, Thomas

2014-01-01

In three experiments we investigated the relationship between a set of influence tactics and three work outcomes in organizations in which the supervisor rated his/her employees on; (a) competence assessment, (b) salary increase, and (c) job promotion. Results showed that rational persuasion produced better ratings than assertiveness with respect to all three work outcomes. However, using an external source for information produced the highest overall scores in two of the experiments. Further...

Influence of companion diagnostics on efficacy and safety of targeted anti-cancer drugs: systematic review and meta-analyses.

Science.gov (United States)

Ocana, Alberto; Ethier, Josee-Lyne; Díez-González, Laura; Corrales-Sánchez, Verónica; Srikanthan, Amirrtha; Gascón-Escribano, María J; Templeton, Arnoud J; Vera-Badillo, Francisco; Seruga, Bostjan; Niraula, Saroj; Pandiella, Atanasio; Amir, Eitan

2015-11-24

Companion diagnostics aim to identify patients that will respond to targeted therapies, therefore increasing the clinical efficacy of such drugs. Less is known about their influence on safety and tolerability of targeted anti-cancer agents. Randomized trials evaluating targeted agents for solid tumors approved by the US Food and Drug Administration since year 2000 were assessed. Odds ratios (OR) and and 95% confidence intervals (CI) were computed for treatment-related death, treatment-discontinuation related to toxicity and occurrence of any grade 3/4 adverse events (AEs). The 12 most commonly reported individual AEs were also explored. ORs were pooled in a meta-analysis. Analysis comprised 41 trials evaluating 28 targeted agents. Seventeen trials (41%) utilized companion diagnostics. Compared to control groups, targeted drugs in experimental arms were associated with increased odds of treatment discontinuation, grade 3/4 AEs, and toxic death irrespective of whether they utilized companion diagnostics or not. Compared to drugs without available companion diagnostics, agents with companion diagnostics had a lower magnitude of increased odds of treatment discontinuation (OR = 1.12 vs. 1.65, p diagnostics were greatest for diarrhea (OR = 1.29 vs. 2.43, p diagnostics are associated with improved safety, and tolerability. Differences were most marked for gastrointestinal, cutaneous and neurological toxicity.

[Methods of mathematical modeling in morphological diagnostics of Chernobyl factor influence on the testes of coal miners of Donbas--the Chernobyl disaster fighters].

Science.gov (United States)

Danylov, Iu V; Motkov, K V; Shevchenko, T I

2014-01-01

The morphometric estimation of parenchyma and stroma condition included the determination of 29 parameters in testicles at 27 persons. The mathematical model of morphogenesis of testicles was created by Bayes' method. The method of differential diagnosis of testicles tissues' changes conditioned by the influence of the Chernobyl factor and/or unfavorable terms of the work in underground coal mines have been worked out. Its practical use provides exactness and reliability of the diagnosis (not less than 95%), independence from the level of the qualification and personal experience of the doctor, allows us to unify, optimize and individualize the diagnostic algorithms, answer the requirements of evidential medicine.

Development of JT-60 diagnostics system

International Nuclear Information System (INIS)

Suzuki, Yasuo

1988-01-01

The various kinds of plasma diagnostics have been developed and utilized in the JT-60 experiments. The features of JT-60 diagnostics system and the historical proceeding of the development are described in this paper. Taking account of the design consideration, JT-60 diagnostics system is sorted out into eight groups, which include six diagnostics systems, the data processing system and diagnostics supporting system. The all devices in the JT-60 diagnostics system were instrumented on schedule in the end of the fiscal year of 1985 and have contributed to JT-60 experiments. (author)

Do Anesthetic Techniques Influence the Threshold for Glomerular Capillary Hemorrhage Induced in Rats by Contrast-Enhanced Diagnostic Ultrasound?

Science.gov (United States)

Miller, Douglas L; Lu, Xiaofang; Fabiilli, Mario; Dou, Chunyan

2016-02-01

Glomerular capillary hemorrhage can be induced by ultrasonic cavitation during contrast-enhanced diagnostic ultrasound (US) exposure, an important nonthermal US bioeffect. Recent studies of pulmonary US exposure have shown that thresholds for another nonthermal bioeffect of US, pulmonary capillary hemorrhage, is strongly influenced by whether xylazine is included in the specific anesthetic technique. The objective of this study was to determine the influence of xylazine on contrast-enhanced diagnostic US-induced glomerular capillary hemorrhage. In this study, anesthesia with ketamine only was compared to ketamine plus xylazine for induction of glomerular capillary hemorrhage in rats by 1.6-MHz intermittent diagnostic US with a microsphere contrast agent (similar to Definity; Lantheus Medical Imaging, Inc, North Billerica, MA). Glomerular capillary hemorrhage was measured as a percentage of glomeruli with hemorrhage found in histologic sections for groups of rats scanned at different peak rarefactional pressure amplitudes. There was a significant difference between the magnitude of the glomerular capillary hemorrhage between the anesthetics at 2.3 MPa, with 45.6% hemorrhage for ketamine only, increasing to 63.2% hemorrhage for ketamine plus xylazine (P Ultrasound in Medicine.

Plasma diagnostic reflectometry

International Nuclear Information System (INIS)

Cohen, B.I.; Afeyan, B.B.; Garrison, J.C.; Kaiser, T.B.; Luhmann, N.C. Jr.; Domier, C.W.; Chou, A.E.; Baang, S.

1996-01-01

Theoretical and experimental studies of plasma diagnostic reflectometry have been undertaken as a collaborative research project between the Lawrence Livermore National Laboratory (LLNL) and the University of California Department of Applied Science Plasma Diagnostics Group under the auspices of the Laboratory Directed Research and Development Program at LLNL. Theoretical analyses have explored the basic principles of reflectometry to understand its limitations, to address specific gaps in the understanding of reflectometry measurements in laboratory experiments, and to explore extensions of reflectometry such as ultra-short-pulse reflectometry. The theory has supported basic laboratory reflectometry experiments where reflectometry measurements can be corroborated by independent diagnostic measurements

Towards a research informed teaching experience within a diagnostic radiography curriculum: The level 4 (year 1) student holistic experience

International Nuclear Information System (INIS)

Higgins, Robert; Hogg, Peter; Robinson, Leslie

2013-01-01

Aim: This article discusses the level 4 (year 1) diagnostic radiography student holistic experience of the Research-informed Teaching experience (RiTe) at the University of Salford, UK. The purpose of RiTe is to expose undergraduate radiography students to more formal research, as part of their normal teaching and learning experience. Method: A grounded theory approach was adopted and a focus group with eight level 4 students was used to explore and evaluate the student experience and perception of RiTe. Results: Open coding defined categories and sub-categories, with axial and selective coding used to interrogate and explore the relationships between the focus group data. A number of insights were gained into the student holistic experience of RiTe. The issue of leadership for level 4 students was also identified. Discussion: The focus group participants found RiTe to be an extremely positive learning experience. RiTe also facilitated their translation of learnt theory into clinical skills knowledge alongside their understanding of and desire to participate in more research as undergraduates. The article also highlights areas for future research.

Optical beam diagnostics at the Electron Stretcher Accelerator ELSA

International Nuclear Information System (INIS)

Zander, Sven

2013-10-01

At the ELectron Stretcher Accelerator ELSA, a resonant excitation of the horizontal particle oscillations is used to extract the electrons to the experiments. This so-called resonance extraction influences the properties of the extracted beam. The emittance, as a number of the beam quality, was determined by using synchrotron light monitors. To enable broad investigations of the emittance a system of synchrotron light monitors was set up. This system was used to measure the influence of the extraction method on the emittance. Time resolved measurements were conducted to investigate the development of the emittance during an accelerator cycle. To improve the optical beam diagnostics a new beamline to an external laboratory was constructed. There, a new high resolution synchrotron light monitor was commissioned. In addition, a streak camera has been installed to enable longitudinal diagnostics of the beam profiles. First measurements of the longitudinal charge distribution with a time resolution in the range of a few picoseconds were conducted successfully.

Does clerkship experience influence interest In internal medicine ...

African Journals Online (AJOL)

BACKGROUND:The career intention of undergraduate medical students may be influenced by the clerkship experience in the various specialties. AIM:This study was undertaken to assess the medical student's perception of the internal medicine clerkship and determine its influence in the choice of internal medicine as a ...

Diagnostic Approaches to Sjögren’s Syndrome: a Literature Review and Own Clinical Experience

Directory of Open Access Journals (Sweden)

Pedro de Sousa Gomes

2012-03-01

Full Text Available Objectives: The purpose of present paper is to critically address the recent advances on diagnostic procedures of Sjögren’s syndrome, taking into account the attained local and systemic features of the disease. Material and Methods: A comprehensive review of the available literature regarding to the diagnostic approaches to Sjögren’s syndrome was conducted. Eligible studies were identified by searching the electronic literature PubMed, Medline, Embase, and ScienceDirect databases for relevant reports (last search update January 2012 combining the MESH heading term “Sjögren’s syndrome”, with the words "diagnosis, diagnostic procedures, salivary gland function, ocular tests, histopathology, salivary gland imaging, serology". The authors checked the references of the selected articles to identify additional eligible publications and contacted the authors, if necessary. Results: Presented article addresses the established diagnostic criteria for Sjögren’s syndrome and critically evaluates the most commonly used diagnostic procedures, presenting data from author’s own clinical experience. Diagnostic criteria for Sjögren’s syndrome are required both by healthcare professionals and patients, namely in order to provide a rational basis for the assessment of the symptoms, establish an individual disease prognosis, and orientate the therapeutic intervention. Conclusions: Sjögren’s syndrome is quite a common autoimmune disease of which the diagnosis and treatment are not easily established. Due to its systemic involvement, it can exhibit a wide range of clinical manifestations that contribute to confusion and delay in diagnosis. The use of proper diagnostic modalities will help to reduce the time to diagnosis and preserve the health and quality of life of patients with Sjögren’s syndrome.

Comorbidity negatively influences the outcomes of diagnostic tests for musculoskeletal pain in the orofacial region.

Science.gov (United States)

Koutris, Michail; Visscher, Corine M; Lobbezoo, Frank; Naeije, Machiel

2013-06-01

The aim of this study was to investigate whether diagnostic tests for musculoskeletal pain in the orofacial region [temporomandibular disorder (TMD) pain] are influenced by the presence of comorbid conditions, and to determine whether this influence decreases when the presence of "familiar pain" is used as outcome measure. In total, 117 patients (35 men, 82 women; 75 TMD-pain patients, 42 pain-free patients; mean age ± SD = 42.94 ± 14.17 years) were examined with palpation tests and dynamic/static tests. After each test, they were asked whether any pain was provoked and whether this pain response was familiar or not. For four clinical outcome measures (pain on palpation, familiar pain on palpation, pain on dynamic/static tests, and familiar pain on dynamic/static tests), multiple logistic regression analyses were performed with the presence of TMD pain as the primary predictor and regional (neck/shoulder) pain, widespread pain, depression, and somatization as comorbid factors. Pain on palpation was not associated with the primary predictor but with regional pain [P = 0.02, odds ratio (OR) = 4.59] and somatization (P = 0.011, OR = 8.47), whereas familiar pain on palpation was associated with the primary predictor (P = 0.003, OR = 5.23), but also with widespread pain (P = 0.001, OR = 2.02). Pain on dynamic/static tests was associated with the primary predictor (P pain on dynamic/static tests was only associated with the primary predictor (P diagnostic tests are negatively influenced by the presence of comorbidity. This influence decreases when the presence of familiar pain is used as outcome measure. Copyright © 2013 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

Diagnostic methods and interpretation of the experiments on microtarget compression in the Iskra-4 device

International Nuclear Information System (INIS)

Kochemasov, G.G.

1992-01-01

Studies on the problem of laser fusion, which is mainly based on experiments conducted in the Iskra-4 device are reviewed. Different approaches to solution of the problem of DT-fuel ignition, methods of diagnostics of characteristics of laser radiation and plasma, occurring on microtarget heating and compression, are considered

Vibration mitigation in J-TEXT far-infrared diagnostic systems

International Nuclear Information System (INIS)

Li, Q.; Chen, J.; Zhuang, G.; Wang, Z. J.; Gao, L.; Chen, W.

2012-01-01

Optical structure stability is an important issue for far-infrared (FIR) phase measurements. To ensure good signal quality, influence of vibration should be minimized. Mechanical amelioration and optical optimization can be taken in turn to decrease vibration's influence and ensure acceptable measurement. J-TEXT (Joint Texal Experiment Tokamak, formerly TEXT-U) has two FIR diagnostic systems: a HCN interferometer system for electron density measurement and a three-wave polarimeter-interferometer system (POLARIS) for electron density and Faraday effect measurements. All use phase detection techniques. HCN interferometer system has almost eliminated the influence of vibration after mechanical amelioration and optical optimization. POLARIS also obtained first experimental results after mechanical stability improvements and is expected to further reduce vibration's influence on Faraday angle to 0.1° after optical optimization.

Note: Additionally refined new possibilities of plasma probe diagnostics

Science.gov (United States)

Riaby, V. A.; Savinov, V. P.; Masherov, P. E.; Yakunin, V. G.

2018-03-01

In two previous Notes published in this journal, a method of measuring probe sheath thickness and ion mass was described using Langmuir probe diagnostics in low pressure xenon plasma close to Maxwellian substance. According to the first Note, this method includes two stages: (i) in a special experiment with known ion mass, the Bohm and Child-Langmuir-Boguslavsky (CLB) equations for cylindrical Langmuir probes used in this xenon plasma were solved jointly to determine the probe sheath thicknesses and Bohm coefficient CBCyl ≈ 1.13; and (ii) in a general experiment, with known CBCyl, the same equations could be solved to obtain the probe sheath thicknesses and the mean ion mass. In the second Note, the (i) stage of this method was refined: the results of the CLB probe sheath model application, which were termed "evaluations," were corrected using the step-front probe sheath model, which was closer to reality in the special experiment with the xenon plasma. This process resulted in a Bohm coefficient of CBCyl ≈ 1.23 for the cylindrical probe. In the present Note, corrected xenon plasma parameters without the influence of the bare probe protective shield were used for the (i) stage of this diagnostic method. This action also refined the Bohm coefficient, lowering it to CBCyl ≈ 0.745 for cylindrical probes. This advance makes the new diagnostics method more objective and reliable.

Social influence bias: a randomized experiment.

Science.gov (United States)

Muchnik, Lev; Aral, Sinan; Taylor, Sean J

2013-08-09

Our society is increasingly relying on the digitized, aggregated opinions of others to make decisions. We therefore designed and analyzed a large-scale randomized experiment on a social news aggregation Web site to investigate whether knowledge of such aggregates distorts decision-making. Prior ratings created significant bias in individual rating behavior, and positive and negative social influences created asymmetric herding effects. Whereas negative social influence inspired users to correct manipulated ratings, positive social influence increased the likelihood of positive ratings by 32% and created accumulating positive herding that increased final ratings by 25% on average. This positive herding was topic-dependent and affected by whether individuals were viewing the opinions of friends or enemies. A mixture of changing opinion and greater turnout under both manipulations together with a natural tendency to up-vote on the site combined to create the herding effects. Such findings will help interpret collective judgment accurately and avoid social influence bias in collective intelligence in the future.

Methodological quality of diagnostic accuracy studies on non-invasive coronary CT angiography: influence of QUADAS (Quality Assessment of Diagnostic Accuracy Studies included in systematic reviews) items on sensitivity and specificity

International Nuclear Information System (INIS)

Schueler, Sabine; Walther, Stefan; Schuetz, Georg M.; Schlattmann, Peter; Dewey, Marc

2013-01-01

To evaluate the methodological quality of diagnostic accuracy studies on coronary computed tomography (CT) angiography using the QUADAS (Quality Assessment of Diagnostic Accuracy Studies included in systematic reviews) tool. Each QUADAS item was individually defined to adapt it to the special requirements of studies on coronary CT angiography. Two independent investigators analysed 118 studies using 12 QUADAS items. Meta-regression and pooled analyses were performed to identify possible effects of methodological quality items on estimates of diagnostic accuracy. The overall methodological quality of coronary CT studies was merely moderate. They fulfilled a median of 7.5 out of 12 items. Only 9 of the 118 studies fulfilled more than 75 % of possible QUADAS items. One QUADAS item (''Uninterpretable Results'') showed a significant influence (P = 0.02) on estimates of diagnostic accuracy with ''no fulfilment'' increasing specificity from 86 to 90 %. Furthermore, pooled analysis revealed that each QUADAS item that is not fulfilled has the potential to change estimates of diagnostic accuracy. The methodological quality of studies investigating the diagnostic accuracy of non-invasive coronary CT is only moderate and was found to affect the sensitivity and specificity. An improvement is highly desirable because good methodology is crucial for adequately assessing imaging technologies. (orig.)

Methodological quality of diagnostic accuracy studies on non-invasive coronary CT angiography: influence of QUADAS (Quality Assessment of Diagnostic Accuracy Studies included in systematic reviews) items on sensitivity and specificity

Energy Technology Data Exchange (ETDEWEB)

Schueler, Sabine; Walther, Stefan; Schuetz, Georg M. [Humboldt-Universitaet zu Berlin, Freie Universitaet Berlin, Charite Medical School, Department of Radiology, Berlin (Germany); Schlattmann, Peter [University Hospital of Friedrich Schiller University Jena, Department of Medical Statistics, Informatics, and Documentation, Jena (Germany); Dewey, Marc [Humboldt-Universitaet zu Berlin, Freie Universitaet Berlin, Charite Medical School, Department of Radiology, Berlin (Germany); Charite, Institut fuer Radiologie, Berlin (Germany)

2013-06-15

To evaluate the methodological quality of diagnostic accuracy studies on coronary computed tomography (CT) angiography using the QUADAS (Quality Assessment of Diagnostic Accuracy Studies included in systematic reviews) tool. Each QUADAS item was individually defined to adapt it to the special requirements of studies on coronary CT angiography. Two independent investigators analysed 118 studies using 12 QUADAS items. Meta-regression and pooled analyses were performed to identify possible effects of methodological quality items on estimates of diagnostic accuracy. The overall methodological quality of coronary CT studies was merely moderate. They fulfilled a median of 7.5 out of 12 items. Only 9 of the 118 studies fulfilled more than 75 % of possible QUADAS items. One QUADAS item (''Uninterpretable Results'') showed a significant influence (P = 0.02) on estimates of diagnostic accuracy with ''no fulfilment'' increasing specificity from 86 to 90 %. Furthermore, pooled analysis revealed that each QUADAS item that is not fulfilled has the potential to change estimates of diagnostic accuracy. The methodological quality of studies investigating the diagnostic accuracy of non-invasive coronary CT is only moderate and was found to affect the sensitivity and specificity. An improvement is highly desirable because good methodology is crucial for adequately assessing imaging technologies. (orig.)

The Development of a Framework for Target Diagnostic Centralized Control System (TDCCS) in ICF Experiments

International Nuclear Information System (INIS)

Zhang Chi; Wang Jian; Yu Xiaoqi; Yang Dong

2008-01-01

A framework for target diagnostic centralized control system (TDCCS) in inertial confinement fusion (ICF) experiment has been developed. The developed framework is based on the common object request broker architecture (CORBA) standard and part of the concept from the ICFRoot (a framework based on ROOT for ICF experiments) framework design. This framework is of a component architecture, including a message bus, command executer, status processor, parser and proxy. To test the function of the framework, a simplified prototype of the TDCCS has been developed as well.

Electron Bernstein Wave Emission Based Diagnostic on National Spherical Torus Experiment

International Nuclear Information System (INIS)

Diem, S.; Taylor, G.; Caughman, John B.; Efthimion, P.C.; Kugel, H.; LeBlanc, B.; Preinhaelter, J.; Sabbagh, S.A.; Urban, J.; Wilgen, John B.

2008-01-01

National Spherical Torus Experiment (NSTX) is a spherical tokamak (ST) that operates with n(e) up to 10(20) m(-3) and B(T) less than 0.6 T, cutting off low harmonic electron cyclotron (EC) emission widely used for T(e) measurements on conventional aspect ratio tokamaks. The electron Bernstein wave (EBW) can propagate in ST plasmas and is emitted at EC harmonics. These properties suggest thermal EBW emission (EBE) may be used for local T(e) measurements in the ST. Practically, a robust T(e)(R,t) EBE diagnostic requires EBW transmission efficiencies of >90% for a wide range of plasma conditions. EBW emission and coupling physics were studied on NSTX with an obliquely viewing EBW to O-mode (B-X-O) diagnostic with two remotely steered antennas, coupled to absolutely calibrated radiometers. While T(e)(R,t) measurements with EBW emission on NSTX were possible, they were challenged by several issues. Rapid fluctuations in edge n(e) scale length resulted in >20% changes in the low harmonic B-X-O transmission efficiency. Also, B-X-O transmission efficiency during H modes was observed to decay by a factor of 5-10 to less than a few percent. The B-X-O transmission behavior during H modes was reproduced by EBE simulations that predict that EBW collisional damping can significantly reduce emission when T(e)< 30 eV inside the B-X-O mode conversion (MC) layer. Initial edge lithium conditioning experiments during H modes have shown that evaporated lithium can increase T(e) inside the B-X-O MC layer, significantly increasing B-X-O transmission.

Status of TMX upgrade diagnostics construction

International Nuclear Information System (INIS)

Hornady, R.S.; Davis, J.C.; Simonen, T.C.

1981-01-01

This report describes the status of the initial TMX Upgrade diagnostics and the state of development of additional diagnostics being prepared for later TMX Upgrade experiments. The initial diagnostic instrument set has been described in the TMX Upgrade Proposal. This set is required to get TMX Upgrade operational and to evaluate its initial performance. Additional diagnostic instruments are needed to then carry out the more detailed experiments outlined by the TMX Upgrade program milestones. The relation of these new measurements to the physics program is described in The TMX Upgrade Program Plan

[Clinical decision making and critical thinking in the nursing diagnostic process].

Science.gov (United States)

Müller-Staub, Maria

2006-10-01

The daily routine requires complex thinking processes of nurses, but clinical decision making and critical thinking are underestimated in nursing. A great demand for educational measures in clinical judgement related with the diagnostic process was found in nurses. The German literature hardly describes nursing diagnoses as clinical judgements about human reactions on health problems / life processes. Critical thinking is described as an intellectual, disciplined process of active conceptualisation, application and synthesis of information. It is gained through observation, experience, reflection and communication and leads thinking and action. Critical thinking influences the aspects of clinical decision making a) diagnostic judgement, b) therapeutic reasoning and c) ethical decision making. Human reactions are complex processes and in their course, human behavior is interpreted in the focus of health. Therefore, more attention should be given to the nursing diagnostic process. This article presents the theoretical framework of the paper "Clinical decision making: Fostering critical thinking in the nursing diagnostic process through case studies".

The capacitor banks for the text diagnostic neutral beam and electron cyclotron heating experiments

International Nuclear Information System (INIS)

Nelin, K.; Jagger, J.; Baker, M.; Ourou, A.; De Turk, P.

1986-01-01

The Texas Experimental Tokamak (TEXT) has been operational since November of 1980. Since that time, many experimental systems have been added to the machine. Currently, two major experiments are being added to compliment the diagnostics already online. These systems, the Diagnostic Neutral Beam (DNB) and the Electron Cyclotron Heating (ECH) experiments are described in separate papers. A set of five modular, bipolar capacitor banks are used to power both the DNB and the ECH. The total capacitance of the banks is 92μF. The stored energy is about 500kJ at+or-100kV. The banks are built as five identical, interchangeable modules. One module is adequate to run the DNB. Up to four banks are used to power the ECH. The banks are portable so that they can be moved to the open end of the laboratory for maintenance. This gives much better access for repair work and allows the experiments to continue to run with the remaining banks. Due to budgetary constraints, these banks were constructed in the most economical manner possible consistent with worker safety and long term reliability. The capacitors themselves are on loan from Los Alamos National Labs. They are rated at 1.85μF at 60kV. Our application requires that they be used in a series/parallel configuration with a peak voltage of 50kV each. This paper describes the electrical, mechanical and control design considerations required to achieve a working set of banks

X-ray diagnostics for laser matter interaction experiments; Diagnostics X pour les experiences d'interaction laser-matiere

Energy Technology Data Exchange (ETDEWEB)

Troussel, Ph

2000-07-01

Advances in the field of laser-driven inertially confined thermonuclear fusion research since the early 1990's are reviewed. It covers the experimental techniques used to study the interaction of laser radiation with matter and high density plasma. A high performance instrumentation (diagnostics) for observation of X radiation (from a few eV to a few keV) will be required to understand the physical processes involved in the interaction. This paper is a three-part: first part, describes diagnostics metrology realized around different X-ray sources (synchrotron, laser plasma...); a second part, synthesizes theoretical and experimental X-ray optics studies and show the interest for direct applications as X-ray spectroscopy and X-ray imaging around laser-produced plasma; a third part, is a review of high resolution X-ray imaging, performances of these optical system were summarized. (author)

Photovoltaic Array Space Power flight experiment plus diagnostics (PASP+) modules

International Nuclear Information System (INIS)

Cooley, W.T.; Adams, S.F.; Reinhardt, K.C.; Piszczor, M.F.

1992-01-01

The Photovoltaic Array Space Power Plus Diagnostics flight experiment (PASP+) subsumes twelve solar array modules which represent the state of the art in the space photovoltaic array industry. Each of the twelve modules individually feature specific photovoltaic technologies such as advanced semiconductor materials, multi-bandgap structures, lightweight array designs, advanced interconnect technologies, or concentrator array designs. This paper will describe each module in detail including the configuration, components, materials, anticipated on orbit performance, and some of the aspects of each array technology. The layout of each module and the photovoltaic cell or array cross section will be presented graphically. A discussion on the environmental constraints and materials selection will be included as well as a delineation of the differences between the modules and the baseline array configuration in its intended application

The influence of parental concern on the utility of autism diagnostic instruments.

Science.gov (United States)

Havdahl, Karoline Alexandra; Bishop, Somer L; Surén, Pål; Øyen, Anne-Siri; Lord, Catherine; Pickles, Andrew; von Tetzchner, Stephen; Schjølberg, Synnve; Gunnes, Nina; Hornig, Mady; Lipkin, W Ian; Susser, Ezra; Bresnahan, Michaeline; Magnus, Per; Stenberg, Nina; Reichborn-Kjennerud, Ted; Stoltenberg, Camilla

2017-10-01

The parental report-based Autism Diagnostic Interview-Revised (ADI-R) and the clinician observation-based Autism Diagnostic Observation Schedule (ADOS) have been validated primarily in U.S. clinics specialized in autism spectrum disorder (ASD), in which most children are referred by their parents because of ASD concern. This study assessed diagnostic agreement of the ADOS-2 and ADI-R toddler algorithms in a more broadly based sample of 679 toddlers (age 35-47 months) from the Norwegian Mother and Child Cohort. We also examined whether parental concern about ASD influenced instrument performance, comparing toddlers identified based on parental ASD concern (n = 48) and parent-reported signs of developmental problems (screening) without a specific concern about ASD (n = 400). The ADOS cutoffs showed consistently well-balanced sensitivity and specificity. The ADI-R cutoffs demonstrated good specificity, but reduced sensitivity, missing 43% of toddlers whose parents were not specifically concerned about ASD. The ADI-R and ADOS dimensional scores agreed well with clinical diagnoses (area under the curve ≥ 0.85), contributing additively to their prediction. On the ADI-R, different cutoffs were needed according to presence or absence of parental ASD concern, in order to achieve comparable balance of sensitivity and specificity. These results highlight the importance of taking parental concern about ASD into account when interpreting scores from parental report-based instruments such as the ADI-R. While the ADOS cutoffs performed consistently well, the additive contributions of ADI-R and ADOS scores to the prediction of ASD diagnosis underscore the value of combining instruments based on parent accounts and clinician observation in evaluation of ASD. Autism Res 2017, 10: 1672-1686. © 2017 International Society for Autism Research, Wiley Periodicals, Inc. © 2017 International Society for Autism Research, Wiley Periodicals, Inc.

Air-operated valve diagnostics: requirements, programmes and experiences

International Nuclear Information System (INIS)

Cervilla, Remedios; Vallana, Fernando; Laporta, Jose Maria

2014-01-01

The aim of this paper is to present some elements in the field of air-operated valve (AOV) diagnostics from the perspective of Tecnatom, as a testing services provider in the national and international nuclear park. Throughout the following lines, we summarize the regulatory framework existing in Spain and the current practices in Spanish nuclear power plants regarding the AOV programs, the role of Tecnatom as a service provider and our testing techniques. Finally, a real test case is presented, to illustrate the value of diagnostic as predictive maintenance and early degradation detection tool. (authors)

Slovenian experience from diagnostic angiography to interventional radiology

International Nuclear Information System (INIS)

Pavcnik, Dusan

2014-01-01

The purpose of writing this article is to document the important events and people in the first 50 years of diagnostic angiography and interventional radiology in Slovenia. During this period not only did the name of the institutions and departments change, but also its governance. This depicted the important roles different people played at various times in the cardiovascular divisions inside and outside of the diagnostic and interventional radiology. Historical data show that Slovenian radiology has relatively immediately introduced the new methods of interventional radiology in clinical practice

Experiences with the inspection of x-ray diagnostic workplaces in the radio hygienic subcentre of Gyoer

International Nuclear Information System (INIS)

Giczi, F.; Halmai, O.; Farkas, I.; Ballay, L.; Pellet, S.

1996-01-01

The authors present present their experiences obtained in the course of the inspection of x-ray diagnostic departments. The protocol for radiation protection survey worked out by the Operational Radiological Department of the National research Institute for Radiobiology and Radio hygiene (NRIRR) has been used. The general radiation protection conditions of x-ray diagnostic workplaces in the region of Gyoer Radio hygienic Subcentre (GyRS) are evaluated. Highlights of typical non compliancies and evaluation of dose and dose rate values measured are summarised. With regard to general radiation protection conditions of x-ray diagnostic workplaces, the following conclusions can be drawn. The optimal performance of x-ray equipment and radiation safety cannot be achieved without regular inspection and quality control activity. Radio hygienic conditions are also highly affected by the professional and radiation protection education and skill of department staff, particularly radiation protection officers and radiologists, which have to improved by regular training. (author). 8 refs., 5 figs., 4 tabs

LHD neutron diagnostics

International Nuclear Information System (INIS)

Isobe, M.; Ogawa, K.; Kobuchi, T.

2015-01-01

The Large Helical Device (LHD) project will step into a next stage, i.e. experiment by using deuterium gases after two years of preparation. A comprehensive set of neutron and γ-ray diagnostics is going to be installed on the LHD towards extension of energetic-particle (EP) physics research in heliotron plasmas. Conceptual design of fusion products diagnostics for the LHD was made in late 1990s. After conclusion of agreements for the LHD deuterium experiment with local government bodies, development of FPs diagnostics has begun lately. Because there are a lot of tasks to do, all Japan fusion neutron and γ-ray diagnostics team has been organized in the collaboration framework of National Institute for Fusion Science. FPs diagnostics system on the LHD will consist of 1) wide dynamic range neutron flux monitor (NFM), 2) neutron activation system (NAS), 3) vertical neutron camera (VNC). In addition to these, we are developing a directional scintillating fiber detector, an artificial diamond detector and a γ-ray scintillation detector for confinement study of MeV ions. A neutron energy spectrometer prototype is also being developed and tested in KSTAR. In this paper, roles of NFM, NAS and VNC and current status of implementation onto the LHD are briefly described. (author)

Summary Report on Synchronization, Diagnostics and Instrumentation

International Nuclear Information System (INIS)

Arne Freyberger

2005-01-01

The proceedings of Working Group 4 of the 2005 Energy Recovery Linac (ERL) workshop are summarized. Working Group 4 dealt with the challenging topic of beam diagnostics for ERL machines. Energy Recovery Linacs represent a challenge for beam diagnostics from several perspectives; invasive versus non-invasive diagnostics, longitudinal and transverse beam diagnostics, overall machine timing/synchronization and machine protection. Beam diagnostics for an ERL can benefit strongly from the experience at third generation light sources, recirculating linacs and presently operating ERLs. During the workshop there were presentations from all these communities, representing a large range operation experience in beam diagnostics. A brief summary Working Group 4 discussion is presented in this paper

Thomson scattering diagnostic for the microwave tokamak experiment

International Nuclear Information System (INIS)

Foote, J.H.; Barter, J.D.; Sewall, N.R.; Jolly, J.J.; Schlander, L.F.

1990-01-01

The Thomson scattering diagnostic system (TSS) on the microwave tokamak experiment (MTX) at LLNL routinely monitors electron temperature (T e ) and density. Typical measured values at the plasma center under clean conditions are 900±70 eV and 1--2x10 14 (±30%) cm -3 . The TSS apparatus is compact, with all elements mounted on one sturdy, two-level optics table. Because of this, we maintain with minimum effort the alignment of both the ruby-laser input optics and the scattered-light collecting optics. Undesired background signals, e.g., plasma light as well as ruby-laser light scattered off obstacles and walls, are generally small compared with the Thomson-scattered signals we normally detect. In the MTX T e region, the TSS data are definitely fitted better when relativistic effects are included in the equations. Besides determining the temperature of the Maxwellian electron distribution, the system is designed to detect electron heating from GW-level free-electron laser (FEL) pulses by measuring large wavelength shifts of the scattered laser photons. TSS data suggest that we may indeed be able to detect these electrons, which can have energies up to 10 keV, according to computer simulation

Diagnostics for the Biased Electrode Experiment on NSTX

International Nuclear Information System (INIS)

Roquemore, A.L.; Zweben, S.J.; Bush, C.E.; Kaita, R.; Marsalsa, R.J.; Maqueda, R.J.

2009-01-01

A linear array of four small biased electrodes was installed in NSTX in an attempt to control the width of the scrape-off layer (SOL) by creating a strong local poloidal electric field. The set of electrodes were separated poloidally by a 1 cm gap between electrodes and were located slightly below the midplane of NSTX, 1 cm behind the RF antenna and oriented so that each electrode is facing approximately normal to the magnetic field. Each electrode can be independently biased to ± 100 volts. Present power supplies limit the current on two electrodes to 30 amps the other two to 10 amps each. The effect of local biasing was measured with a set of Langmuir probes placed between the electrodes and another set extending radially outward from the electrodes, and also by the gas puff imaging diagnostic (GPI) located 1 m away along the magnetic field lines intersecting the electrodes. Two fast cameras were also aimed directly at the electrode array. The hardware and controls of the biasing experiment will be presented and the initial effects on local plasma parameters will be discussed

[Cognitive errors in diagnostic decision making].

Science.gov (United States)

Gäbler, Martin

2017-10-01

Approximately 10-15% of our diagnostic decisions are faulty and may lead to unfavorable and dangerous outcomes, which could be avoided. These diagnostic errors are mainly caused by cognitive biases in the diagnostic reasoning process.Our medical diagnostic decision-making is based on intuitive "System 1" and analytical "System 2" diagnostic decision-making and can be deviated by unconscious cognitive biases.These deviations can be positively influenced on a systemic and an individual level. For the individual, metacognition (internal withdrawal from the decision-making process) and debiasing strategies, such as verification, falsification and rule out worst-case scenarios, can lead to improved diagnostic decisions making.

Synesthetic color experiences influence memory.

Science.gov (United States)

Smilek, Daniel; Dixon, Mike J; Cudahy, Cera; Merikle, Philip M

2002-11-01

We describe the extraordinary memory of C, a 21-year-old student who experiences synesthetic colors (i.e., photisms) when she sees, hears, or thinks of digits. Using three matrices of 50 digits, we tested C and 7 nonsynesthetes to evaluate whether C's synesthetic photisms influence her memory for digits. One matrix consisted of black digits, whereas the other two matrices consisted of digits that were either incongruent or congruent with the colors of C's photisms. C's recall of the incongruently colored digits was considerably poorer than her recall of either the black or the congruently colored digits. The 7 nonsynesthetes did not show such differences in their recall of the matrices. In addition, when immediate recall of the black digits was compared with delayed recall of those digits (48 hr), C showed no decrease in performance, whereas each of the nonsynesthetes showed a significant decrease. These findings both demonstrate C's extraordinary memory and show that her synesthetic photisms can influence her memory for digits.

Electron Bernstein wave emission based diagnostic on National Spherical Torus Experiment (invited)

International Nuclear Information System (INIS)

Diem, S.; Taylor, G.; Caughman, John B.; Efthimion, P.C.; Kugel, H.; LeBlanc, B.; Preinhaelter, J.; Sabbagh, S.A.; Urban, J.

2008-01-01

National Spherical Torus Experiment (NSTX) is a spherical tokamak (ST) that operates with n(e) up to 10(20) m(-3) and B-T less than 0.6 T, cutting off low harmonic electron cyclotron (EC) emission widely used for T-e measurements on conventional aspect ratio tokamaks. The electron Bernstein wave (EBW) can propagate in ST plasmas and is emitted at EC harmonics. These properties suggest thermal EBW emission (EBE) may be used for local T-e measurements in the ST. Practically, a robust T-e(R,t) EBE diagnostic requires EBW transmission efficiencies of >90% for a wide range of plasma conditions. EBW emission and coupling physics were studied on NSTX with an obliquely viewing EBW to O-mode (B-X-O) diagnostic with two remotely steered antennas, coupled to absolutely calibrated radiometers. While T-e(R,t) measurements with EBW emission on NSTX were possible, they were challenged by several issues. Rapid fluctuations in edge n(e) scale length resulted in >20% changes in the low harmonic B-X-O transmission efficiency. Also, B-X-O transmission efficiency during H modes was observed to decay by a factor of 5-10 to less than a few percent. The B-X-O transmission behavior during H modes was reproduced by EBE simulations that predict that EBW collisional damping can significantly reduce emission when T-e < 30 eV inside the B-X-O mode conversion (MC) layer. Initial edge lithium conditioning experiments during H modes have shown that evaporated lithium can increase T-e inside the B-X-O MC layer, significantly increasing B-X-O transmission.

Diagnostic value of different tumor markers, our experience

International Nuclear Information System (INIS)

Pervez, T.; Anwar, S.

2000-01-01

Variety of tumor markers with varying sensitivity and specificity are used for diagnosis of different malignancies. This study was done to determine the diagnostic value of different tumor markers in our patients with various malignancies. Out of 235 patients studied, 162 were suffering from malignant and 73 from benign diseases. Among these 84 were positive for tumor markers. Out of these positive tumor markers, 75 were suffering from malignancy. Tumor marker analyzed were ca-15-3, ca-125, BETA-HCG, CEA, PSA and alpha-FP depending upon the type of the disease these cases presented. Analysis of the results revealed that different tumor markers had sensitivity varying from 76.9-95.8% and specificity varying form 75-90.9%. CA-125 was observed to be the most specific and sensitive tumor marker for ovarian tumors followed by alpha-FP for hepatocellular tumors and CEA for gastrointestinal tumors. Similarly, PSA for prostate cancers, beta-HCG for choriocarcinoma and CA-15-3 for breast cancer. It is concluded that all the tumor markers have a variable diagnostic value, which cannot be relied upon independently, without other tests added to increase diagnostic value. (author)

International Practica Experiences as Events of Influence in a Teacher Candidates' Development

Science.gov (United States)

Maynes, Nancy; Allison, John; Julien-Schultz, Lynn

2012-01-01

Experience may influence beliefs and beliefs may influence practices. Following these premises, we investigated teacher candidates' post experience reflections nine months after an international practicum where they taught for three weeks in rural Kenya. Teacher candidates were placed in non-governmental organization (NGO) sponsored schools on the…

IMPLEMENTATION OF TURNOUTS TECHNICAL DIAGNOSTICS SYSTEMS

Directory of Open Access Journals (Sweden)

S. YU. Buryak

2015-06-01

Full Text Available Purpose. In the paper it is necessary to: 1 find out the causes of turnouts faults to determine diagnostic features failures; 2 consider the requirements structure, purpose components of turnouts, work and technology of their maintenance to determine the construction of the economic activities related to system to the turnout’s maintenance; 3 substantiate the possibility, necessity and prospects of automated diagnostics turnout’s implementation; 4 elaborate a prototype of an automated hardware and software system for the turnouts control parameters and perform diagnostics on them. Methodology. In the paper possible turnouts faults were presented and manifestations and influence on its work were shown. According to the current technology works the process analyze of turnouts’ maintenance was conducted, were defined the basic performed operations during the examination of appearance, parameters and check the repair or replacement of parts and assemblies. Based on the analysis of reasons of turnouts malfunctioning and their fixes were systematized types of damages and ways to deal with them, an information scheme of troubleshooting were created, opportunities and limits of automating the process of diagnostics were identified and compared with the existing method of turnouts maintenance. A diagnostics system block diagram was created, an algorithm of its work was developed and established main basic principles of operation. Software and hardware to determine the turnout’s state considering diagnostic performance of points in use were applied. Findings. During the experiment was created a method of automated turnout’s diagnostics with AC electric drives, managed centrally. The results of automated hardware and software system make it possible to control turnout’s parameters and perform diagnostics on them. Originality. Authors created the method of turnout’s state determination by current curve and its spectral composition in the

Operation Request Gatekeeper: A software system for remote access control of diagnostic instruments in fusion experiments

International Nuclear Information System (INIS)

Abla, G.; Schissel, D. P.; Fredian, T. W.; Stillerman, J. A.; Greenwald, M. J.; Stepanov, D. N.; Ciarlette, D. J.

2010-01-01

Tokamak diagnostic settings are repeatedly modified to meet the changing needs of each experiment. Enabling the remote diagnostic control has significant challenges due to security and efficiency requirements. The Operation Request Gatekeeper (ORG) is a software system that addresses the challenges of remotely but securely submitting modification requests. The ORG provides a framework for screening all the requests before they enter the secure machine zone and are executed by performing user authentication and authorization, grammar validation, and validity checks. A prototype ORG was developed for the ITER CODAC that satisfies their initial requirements for remote request submission and has been tested with remote control of the KSTAR Plasma Control System. This paper describes the software design principles and implementation of ORG as well as worldwide test results.

Research priorities for the influence of gender on diagnostic imaging choices in the emergency department setting.

Science.gov (United States)

Ashurst, John V; Cherney, Alan R; Evans, Elizabeth M; Kennedy Hall, Michael; Hess, Erik P; Kline, Jeffrey A; Mitchell, Alice M; Mills, Angela M; Weigner, Michael B; Moore, Christopher L

2014-12-01

Diagnostic imaging is a cornerstone of patient evaluation in the acute care setting, but little effort has been devoted to understanding the appropriate influence of sex and gender on imaging choices. This article provides background on this issue and a description of the working group and consensus findings reached during the diagnostic imaging breakout session at the 2014 Academic Emergency Medicine consensus conference "Gender-specific Research in Emergency Care: Investigate, Understand, and Translate How Gender Affects Patient Outcomes." Our goal was to determine research priorities for how sex and gender may (or should) affect imaging choices in the acute care setting. Prior to the conference, the working group identified five areas for discussion regarding the research agenda in sex- and gender-based imaging using literature review and expert consensus. The nominal group technique was used to identify areas for discussion for common presenting complaints to the emergency department where ionizing radiation is often used for diagnosis: suspected pulmonary embolism, suspected kidney stone, lower abdominal pain with a concern for appendicitis, and chest pain concerning for coronary artery disease. The role of sex- and gender-based shared decision-making in diagnostic imaging decisions is also raised. © 2014 by the Society for Academic Emergency Medicine.

X-ray imaging diagnostics for the inertial confinement fusion experiments

International Nuclear Information System (INIS)

Aglitskiy, Y.; Lehecka, T.; Obenschain, S.; Pawley, C.; Sethian, J.; Koch, J.A.; Holland, G.

2000-01-01

We report on our continued development of the advanced x-ray plasma diagnostics based on spherically curved crystals. The diagnostics include x-ray spectroscopy with 1-D spatial resolution, 2-D monochromatic self-imaging and back-lighting, and can be extended to the x-ray collimating and 2-D absorption and emission spectroscopy. The system is currently used, but not limited to the diagnostics of the targets ablatively accelerated by the NRL Nike KrF laser. In cooperation with LLNL a comprehensive test of the NIF prototype spherically curved crystal assembly has been performed on the Nova laser. (authors)

X-ray imaging diagnostics for the inertial confinement fusion experiments

Energy Technology Data Exchange (ETDEWEB)

Aglitskiy, Y.; Lehecka, T. [Science Applications International Corp., McLean, VA (United States); Obenschain, S.; Pawley, C.; Sethian, J. [Naval Research Lab., Washington, DC (United States). Plasma Physics Div; Brown, C.M.; Seely, J. [Naval Research Lab., Space Sciences Div, Washington, DC (United States); Koch, J.A. [Lawrence Livermore National Lab., CA (United States); Holland, G. [SFA, Landover MD (United States)

2000-07-01

We report on our continued development of the advanced x-ray plasma diagnostics based on spherically curved crystals. The diagnostics include x-ray spectroscopy with 1-D spatial resolution, 2-D monochromatic self-imaging and back-lighting, and can be extended to the x-ray collimating and 2-D absorption and emission spectroscopy. The system is currently used, but not limited to the diagnostics of the targets ablatively accelerated by the NRL Nike KrF laser. In cooperation with LLNL a comprehensive test of the NIF prototype spherically curved crystal assembly has been performed on the Nova laser. (authors)

Own and Others' Prior Experiences Influence Children's Imitation of Causal Acts.

Science.gov (United States)

Williamson, Rebecca A; Meltzoff, Andrew N

2011-07-01

Young children learn from others' examples, and they do so selectively. We examine whether the efficacy of prior experiences influences children's imitation. Thirty-six-month-olds had initial experience on a causal learning task either by performing the task themselves or by watching an adult perform it. The nature of the experience was manipulated such that the actor had either an easy or a difficult experience completing the task. Next, a second adult demonstrated an innovative technique for completing it. Children who had a difficult first-person experience, and those who had witnessed another person having difficulty, were significantly more likely to adopt and imitate the adult's innovation than those who had or witnessed an easy experience. Children who observed another were also more likely to imitate than were those who had the initial experience themselves. Imitation is influenced by prior experience, both when it is obtained through one's own hands-on motor manipulation and when it derives from observing the acts of others.

Design of a study on suboptimal cognitive acts in the diagnostic process, the effect on patient outcomes and the influence of workload, fatigue and experience of physician.

NARCIS (Netherlands)

Zwaan, L.; Thijs, A.; Wagner, C.; Wal, G. van der; Timmermans, D.R.M.

2009-01-01

Background: Diagnostic error is an important error type since diagnostic adverse events are regularly judged as being preventable and the consequences are considered to be severe. Existing research often focuses on either diagnostic adverse events or on the errors in diagnostic reasoning. Whether

Design of a study on suboptimal cognitive acts in the diagnostic process, the effect on patient outcomes and the influence of workload, fatigue and experience of physician

NARCIS (Netherlands)

Zwaan, L.; Thijs, A.; Wagner, C.; Wal, van der G.; Timmermans, D.R.M.

2009-01-01

BACKGROUND: Diagnostic error is an important error type since diagnostic adverse events are regularly judged as being preventable and the consequences are considered to be severe. Existing research often focuses on either diagnostic adverse events or on the errors in diagnostic reasoning. Whether

Intense ion beam diagnostics for light ion inertial fusion experiments on PBFA 2

International Nuclear Information System (INIS)

Leeper, R.J.; Stygar, W.A.; Bailey, J.E.; Baldwin, G.T.; Bloomquist, D.D.; Carlson, A.L.; Chandler, G.; Crist, C.E.; Cooper, G.; Derszon, M.S.; Dukart, R.J.; Fehl, D.L.; Hebron, D.E.; Johnson, D.J.; Kensek, R.P.; Landron, C.O.; Lee, J.R.; Lockner, T.R.; Mattson, C.R.; Matzen, M.K.; Maenchen, J.; Mehlhorn, T.A.; Mix, L.P.; Muron, D.J.; Nash, T.; Nelson, W.E.; Reyes, P.; Rockett, P.; Ruiz, C.L.; Schmidlapp, A.; Stinnett, R.W.; Sujka, B.; Wenger, D.F.

1991-01-01

A review of recent developments in intense ion beam diagnostics used in the light ion inertial confinement fusion (ICF) program on the PBFA-2 accelerator at Sandia National Laboratories will be presented. These developments have occurred in each of several generic classes of diagnostics, namely, imaging diagnostics, particle spectrograph diagnostics, nuclear activation, and visible spectroscopy. Critical beam parameters measured by the diagnostic include spatial profile, absolute number, species, anode plasma temperature and density, beam divergence, and beam voltage current density, and power density. A unique feature of these diagnostics is that they are capable of operating in hard (multi-Mev) X-ray (bremsstrahlung) backgrounds of some 10 10 - 10 12 rad/s. The operating principles of each diagnostic will be summarized in the paper, with examples of how the diagnostics may be integrated together to form a complete diagnostic system. The paper will close with a discussion of several near diagnostic systems that are presently being developed. 13 refs., 6 figs

Thomson scattering diagnostic for the Microwave Tokamak Experiment

International Nuclear Information System (INIS)

Foote, J.H.; Barter, J.D.; Sewall, N.R.; Jolly, J.J.; Schlander, L.F.

1990-01-01

The Thomson-scattering diagnostic system (TSS) on the Microwave Tokamak Experiment (MTX) at LLNL routinely monitors electron temperature (T e ) and density. Typical measured values at the plasma center under clean conditions are 900 ± 70 eV and 1 to 2 x 10 14 (±30%) cm -3 . The TSS apparatus is compact, with all elements mounted on one sturdy, two-level optics table. Because of this, we maintain with minimum effort the alignment of both the ruby-laser input optics and the scattered-light collecting optics. Undesired background signals, e.g., plasma light as well as ruby-laser light scattered off obstacles and walls, are generally small compared with the Thomson-scattered signals we normally detect. In the MTX T e region, the TSS data are definitely fitted better when relativistic effects are included in the equations. Besides determining the temperature of the Maxwellian electron distribution, the system is designed to detect electron heating from GW-level free-electron laser (FEL) pulses by measuring large wavelength shifts of the scattered laser photons. TSS data suggest that we may indeed by able to detect these electrons, which can have energies up to 10 keV, according to computer simulation. 7 refs., 4 figs

Music experience influences laparoscopic skills performance.

Science.gov (United States)

Boyd, Tanner; Jung, Inkyung; Van Sickle, Kent; Schwesinger, Wayne; Michalek, Joel; Bingener, Juliane

2008-01-01

Music education affects the mathematical and visuo-spatial skills of school-age children. Visuo-spatial abilities have a significant effect on laparoscopic suturing performance. We hypothesize that prior music experience influences the performance of laparoscopic suturing tasks. Thirty novices observed a laparoscopic suturing task video. Each performed 3 timed suturing task trials. Demographics were recorded. A repeated measures linear mixed model was used to examine the effects of prior music experience on suturing task time. Twelve women and 18 men completed the tasks. When adjusted for video game experience, participants who currently played an instrument performed significantly faster than those who did not (PMen who had never played an instrument or were currently playing an instrument performed better than women in the same group (P=0.002 and P<0.001). There was no sex difference in the performance of participants who had played an instrument in the past (P=0.29). This study attempted to investigate the effect of music experience on the laparoscopic suturing abilities of surgical novices. The visuo-spatial abilities used in laparoscopic suturing may be enhanced in those involved in playing an instrument.

The influence of linguistic and musical experience on Cantonese word learning.

Science.gov (United States)

Cooper, Angela; Wang, Yue

2012-06-01

Adult non-native speech perception is subject to influence from multiple factors, including linguistic and extralinguistic experience such as musical training. The present research examines how linguistic and musical factors influence non-native word identification and lexical tone perception. Groups of native tone language (Thai) and non-tone language listeners (English), each subdivided into musician and non-musician groups, engaged in Cantonese tone word training. Participants learned to identify words minimally distinguished by five Cantonese tones during training, also completing musical aptitude and phonemic tone identification tasks. First, the findings suggest that either musical experience or a tone language background leads to significantly better non-native word learning proficiency, as compared to those with neither musical training nor tone language experience. Moreover, the combination of tone language and musical experience did not provide an additional advantage for Thai musicians above and beyond either experience alone. Musicianship was found to be more advantageous than a tone language background for tone identification. Finally, tone identification and musical aptitude scores were significantly correlated with word learning success for English but not Thai listeners. These findings point to a dynamic influence of musical and linguistic experience, both at the tone dentification level and at the word learning stage.

The experiences of health-related quality of life in patients with nonspecific symptoms who undergo a diagnostic evaluation for cancer: a qualitative interview study.

Science.gov (United States)

Moseholm, Ellen; Lindhardt, Bjarne Oerskov; Rydahl-Hansen, Susan

2017-09-01

The diagnostic phase of cancer can affect health-related quality of life (HRQoL). The aim of this study was to investigate how patients with nonspecific symptoms experience HRQoL while undergoing diagnostic evaluations for cancer. Twenty-one participants who had completed a fast-track evaluation for possible cancer at one of three hospitals in the Capital Region, Denmark were interviewed 2-4 weeks after completing diagnostic evaluations. The interviews were semi-structured and were supported by an interview guide based on the same themes as in The European Organisation for Research and Treatment of Cancer Quality of Life questionnaire (EORCT-QLQ-C30). Data analysis was based on qualitative content analysis by Krippendorff. The analysis generated six categories: symptoms, physical-, role-, emotional-, cognitive- and social functioning, and the diagnostic fast-track experience. From these categories, a main theme was identified: Health-related quality of life is not solely affected by the diagnostic process. The results provide a comprehensive understanding of HRQoL in the diagnostic phase of possible cancer, which can be used not only to enhance evidence-based care, but also in the interpretation of the EORTC-QLQ-C30 scores. Psycho-social support with a focus on individual informational needs during the diagnostic phase may be warranted. © 2016 Nordic College of Caring Science.

Identification of factors associated with diagnostic error in primary care.

Science.gov (United States)

Minué, Sergio; Bermúdez-Tamayo, Clara; Fernández, Alberto; Martín-Martín, José Jesús; Benítez, Vivian; Melguizo, Miguel; Caro, Araceli; Orgaz, María José; Prados, Miguel Angel; Díaz, José Enrique; Montoro, Rafael

2014-05-12

Missed, delayed or incorrect diagnoses are considered to be diagnostic errors. The aim of this paper is to describe the methodology of a study to analyse cognitive aspects of the process by which primary care (PC) physicians diagnose dyspnoea. It examines the possible links between the use of heuristics, suboptimal cognitive acts and diagnostic errors, using Reason's taxonomy of human error (slips, lapses, mistakes and violations). The influence of situational factors (professional experience, perceived overwork and fatigue) is also analysed. Cohort study of new episodes of dyspnoea in patients receiving care from family physicians and residents at PC centres in Granada (Spain). With an initial expected diagnostic error rate of 20%, and a sampling error of 3%, 384 episodes of dyspnoea are calculated to be required. In addition to filling out the electronic medical record of the patients attended, each physician fills out 2 specially designed questionnaires about the diagnostic process performed in each case of dyspnoea. The first questionnaire includes questions on the physician's initial diagnostic impression, the 3 most likely diagnoses (in order of likelihood), and the diagnosis reached after the initial medical history and physical examination. It also includes items on the physicians' perceived overwork and fatigue during patient care. The second questionnaire records the confirmed diagnosis once it is reached. The complete diagnostic process is peer-reviewed to identify and classify the diagnostic errors. The possible use of heuristics of representativeness, availability, and anchoring and adjustment in each diagnostic process is also analysed. Each audit is reviewed with the physician responsible for the diagnostic process. Finally, logistic regression models are used to determine if there are differences in the diagnostic error variables based on the heuristics identified. This work sets out a new approach to studying the diagnostic decision-making process

Companion diagnostics: a regulatory perspective from the last 5 years of molecular companion diagnostic approvals.

Science.gov (United States)

Roscoe, Donna M; Hu, Yun-Fu; Philip, Reena

2015-01-01

Companion diagnostics are essential for the safe and effective use of the corresponding therapeutic products. The US FDA has approved a number of companion diagnostics used to select cancer patients for treatment with contemporaneously approved novel therapeutics. The processes of co-development and co-approval of a therapeutic product and its companion diagnostic have been a learning experience that continues to evolve. Using several companion diagnostics as examples, this article describes the challenges associated with the scientific, clinical and regulatory hurdles faced by FDA and industry alike. Taken together, this discussion is intended to assist manufacturers toward a successful companion diagnostics development plan.

Measurements with magnetic field in the National Spherical Torus Experiment using the motional Stark effect with laser induced fluorescence diagnostic

Energy Technology Data Exchange (ETDEWEB)

Foley, E. L.; Levinton, F. M. [Nova Photonics, Inc., Princeton, New Jersey 08540 (United States)

2013-04-15

The motional Stark effect with laser-induced fluorescence diagnostic (MSE-LIF) has been installed and tested on the National Spherical Torus Experiment (NSTX) at the Princeton Plasma Physics Lab. The MSE-LIF diagnostic will be capable of measuring radially resolved profiles of magnetic field magnitude or pitch angle in NSTX plasmas. The system includes a diagnostic neutral hydrogen beam and a laser which excites the n = 2 to n = 3 transition. A viewing system has been implemented which will support up to 38 channels from the plasma edge to past the magnetic axis. First measurements of MSE-LIF signals in the presence of small applied magnetic fields in neutral gas are reported.

Measurements with magnetic field in the National Spherical Torus Experiment using the motional Stark effect with laser induced fluorescence diagnostic

Science.gov (United States)

Foley, E. L.; Levinton, F. M.

2013-04-01

The motional Stark effect with laser-induced fluorescence diagnostic (MSE-LIF) has been installed and tested on the National Spherical Torus Experiment (NSTX) at the Princeton Plasma Physics Lab. The MSE-LIF diagnostic will be capable of measuring radially resolved profiles of magnetic field magnitude or pitch angle in NSTX plasmas. The system includes a diagnostic neutral hydrogen beam and a laser which excites the n = 2 to n = 3 transition. A viewing system has been implemented which will support up to 38 channels from the plasma edge to past the magnetic axis. First measurements of MSE-LIF signals in the presence of small applied magnetic fields in neutral gas are reported.

Primary myelofibrosis: own experience and news from diagnostic and treatment

Directory of Open Access Journals (Sweden)

K. M. Abdulkadyrov

2015-06-01

Full Text Available The newest advances in primary myelofibrosis (PMF pathogenesis study, diagnostic and treatment approaches are presented in this article. The JAK-STAT signal pathway activation now recognized as main pathogenesis mechanism of PMF, it caused by JAK2, CALR, MPL genes mutations. Authors demonstrate their own data about epidemiology, clinical signs, diagnostic and treatment results of 315 PMF patients. The most frequent clinical symptoms are: anemia, leukocytosis, thrombocytosis, splenomegaly, constitutional symptoms. Diagnostic criteria, prognostic scales (including cytogenetic and molecular features issues are reviewed. Intermediate-1 risk grade is in the most proportion of patients. Therecommended PMF treatment algorithm is listed. The treatment methods, target drugs (Janus kinases inhibitors trials results are discussed.

Primary myelofibrosis: own experience and news from diagnostic and treatment

Directory of Open Access Journals (Sweden)

K. M. Abdulkadyrov

2015-01-01

Full Text Available The newest advances in primary myelofibrosis (PMF pathogenesis study, diagnostic and treatment approaches are presented in this article. The JAK-STAT signal pathway activation now recognized as main pathogenesis mechanism of PMF, it caused by JAK2, CALR, MPL genes mutations. Authors demonstrate their own data about epidemiology, clinical signs, diagnostic and treatment results of 315 PMF patients. The most frequent clinical symptoms are: anemia, leukocytosis, thrombocytosis, splenomegaly, constitutional symptoms. Diagnostic criteria, prognostic scales (including cytogenetic and molecular features issues are reviewed. Intermediate-1 risk grade is in the most proportion of patients. Therecommended PMF treatment algorithm is listed. The treatment methods, target drugs (Janus kinases inhibitors trials results are discussed.

Influencing attitudes toward science through field experiences in biology

Science.gov (United States)

Carpenter, Deborah Mcintyre

The purpose of this study was to determine how student attitudes toward science are influenced by field experiences in undergraduate biology courses. The study was conducted using two institutions of higher education including a 2-year lower-level and a 2-year upper-level institution. Data were collected through interviews with student participants, focus group discussions, students' journal entries, and field notes recorded by the researcher during the field activities. Photographs and video recordings were also used as documentation sources. Data were collected over a period of 34 weeks. Themes that emerged from the qualitative data included students' beliefs that field experiences (a) positively influence student motivation to learn, (b) increase student ability to learn the concepts being taught, and (c) provide opportunities for building relationships and for personal growth. The findings of the study reinforce the importance of offering field-study programs at the undergraduate level to allow undergraduate students the opportunity to experience science activities in a field setting. The research study was framed by the behavioral and developmental theories of attitude and experience including the Theory of Planned Behavior (Ajzen, 1991) and the Theory of Experiential Learning (Kolb, 1984).

Electromagnetic diagnostic system for the Keda Torus eXperiment

Science.gov (United States)

Tu, Cui; Liu, Adi; Li, Zichao; Tan, Mingsheng; Luo, Bing; You, Wei; Li, Chenguang; Bai, Wei; Fu, Chenshuo; Huang, Fangcheng; Xiao, Bingjia; Shen, Biao; Shi, Tonghui; Chen, Dalong; Mao, Wenzhe; Li, Hong; Xie, Jinglin; Lan, Tao; Ding, Weixing; Xiao, Chijin; Liu, Wandong

2017-09-01

A system for electromagnetic measurements was designed and installed on the Keda Torus eXperiment (KTX) reversed field pinch device last year. Although the unique double-C structure of the KTX, which allows the machine to be opened easily without disassembling the poloidal field windings, makes the convenient replacement and modification of the internal inductive coils possible, it can present difficulties in the design of flux coils and magnetic probes at the two vertical gaps. Moreover, the KTX has a composite shell consisting of a 6 mm stainless steel vacuum chamber and a 1.5 mm copper shell, which results in limited space for the installation of saddle sensors. Therefore, the double-C structure and composite shell should be considered, especially during the design and installation of the electromagnetic diagnostic system (EDS). The inner surface of the vacuum vessel includes two types of probes. One type is for the measurement of the global plasma parameters, and the other type is for studying the local behavior of the plasma and operating the new saddle coils. In addition, the probes on the outer surface of the composite shell are used for measurements of eddy currents. Finally, saddle sensors for radial field measurements for feedback control were installed between the conducting shell and the vacuum vessel. The entire system includes approximately 1100 magnetic probes, 14 flux coils, 4 ×26 ×2 saddle sensors, and 16 Rogowski coils. Considering the large number of probes and limited space available in the vacuum vessel, the miniaturization of the probes and optimization of the probe distribution are necessary. In addition, accurate calibration and careful mounting of the probes are also required. The frequency response of the designed magnetic probes is up to 200 kHz, and the resolution is 1 G. The EDS, being spherical and of high precision, is one of the most basic and effective diagnostic tools of the KTX and meets the demands imposed by requirements on

Diagnostic ultrasound use in physiotherapy, emergency medicine, and anaesthesiology

Energy Technology Data Exchange (ETDEWEB)

McKiernan, Sharmaine [School of Health Sciences, University of Newcastle, Callagham, NSW 2308 (Australia)], E-mail: sharmaine.mckiernan@newcastle.edu.au; Chiarelli, Pauline; Warren-Forward, Helen [School of Health Sciences, University of Newcastle, Callagham, NSW 2308 (Australia)

2010-05-15

Background: Diagnostic ultrasound is traditionally and extensively used within the radiology department. However in recent years its use has expanded outside this traditional area into health professions such as physiotherapy, emergency medicine and anaesthesiology. Purpose: The radiology community needs to be aware of the expansion of use of diagnostic ultrasound. This article starts this exploration in the health professions mentioned, however it is acknowledged that diagnostic ultrasound use goes beyond what is covered in this article. As diagnostic ultrasound is a user dependant modality and the outcome of an examination is largely influenced by the skill and experience of the operator, the radiology community should take a guiding role in its use, training and protocol development for health professionals. Method: This article explores the literature on the use of diagnostic ultrasound within physiotherapy, emergency medicine and anaesthesiology. Literature was searched for on the databases Medline, Cinahl and Embase. Results: Diagnostic ultrasound is being used in health professions such as physiotherapy, where it is being used to provide biofeedback to patients on contraction of abdominal and pelvic floor muscles; emergency medicine, for the investigation of free fluid within the abdomen of a trauma patient and anaesthesiology, for the placement of catheters and nerve blocks. Conclusion: As members of the radiology community are considered experts in the field, they need to take the lead to guide and mentor the other health professionals who are now using the modality. To be able to achieve this they must have an understanding of what these professions are using the modality for.

Diagnostic ultrasound use in physiotherapy, emergency medicine, and anaesthesiology

International Nuclear Information System (INIS)

McKiernan, Sharmaine; Chiarelli, Pauline; Warren-Forward, Helen

2010-01-01

Background: Diagnostic ultrasound is traditionally and extensively used within the radiology department. However in recent years its use has expanded outside this traditional area into health professions such as physiotherapy, emergency medicine and anaesthesiology. Purpose: The radiology community needs to be aware of the expansion of use of diagnostic ultrasound. This article starts this exploration in the health professions mentioned, however it is acknowledged that diagnostic ultrasound use goes beyond what is covered in this article. As diagnostic ultrasound is a user dependant modality and the outcome of an examination is largely influenced by the skill and experience of the operator, the radiology community should take a guiding role in its use, training and protocol development for health professionals. Method: This article explores the literature on the use of diagnostic ultrasound within physiotherapy, emergency medicine and anaesthesiology. Literature was searched for on the databases Medline, Cinahl and Embase. Results: Diagnostic ultrasound is being used in health professions such as physiotherapy, where it is being used to provide biofeedback to patients on contraction of abdominal and pelvic floor muscles; emergency medicine, for the investigation of free fluid within the abdomen of a trauma patient and anaesthesiology, for the placement of catheters and nerve blocks. Conclusion: As members of the radiology community are considered experts in the field, they need to take the lead to guide and mentor the other health professionals who are now using the modality. To be able to achieve this they must have an understanding of what these professions are using the modality for.

Health-related quality of life, anxiety and depression in the diagnostic phase of suspected cancer, and the influence of diagnosis

DEFF Research Database (Denmark)

Larsen, Ellen Frøsig Moseholm; Rydahl Hansen, Susan; Overgaard, Dorthe

2016-01-01

suspected to have cancer based on non-specific symptoms was performed. Participants completed the EORTC-QLQ-C30 quality of life scale, HADS, SOC-13 and self-rated health before and after completing diagnostic evaluations. Intra- and inter-group differences between patients diagnosed with cancer versus......-specific symptoms experience a high prevalence of anxiety and affected quality of life prior to knowledge of the diagnosis. The predictive value of the baseline scores is important when assessing the psychological impact of undergoing diagnostic evaluations for cancer.......Background Undergoing diagnostic evaluation for cancer has been associated with a high prevalence of anxiety and depression and affected health-related quality of life (HRQoL). The aims of this study were to assess HRQoL, anxiety, and depression pre- and post-diagnosis in patients undergoing...

X-ray diagnostics for laser matter interaction experiments

International Nuclear Information System (INIS)

Troussel, Ph.

2000-01-01

Advances in the field of laser-driven inertially confined thermonuclear fusion research since the early 1990's are reviewed. It covers the experimental techniques used to study the interaction of laser radiation with matter and high density plasma. A high performance instrumentation (diagnostics) for observation of X radiation (from a few eV to a few keV) will be required to understand the physical processes involved in the interaction. This paper is a three-part: first part, describes diagnostics metrology realized around different X-ray sources (synchrotron, laser plasma...); a second part, synthesizes theoretical and experimental X-ray optics studies and show the interest for direct applications as X-ray spectroscopy and X-ray imaging around laser-produced plasma; a third part, is a review of high resolution X-ray imaging, performances of these optical system were summarized. (author)

MTX [Microwave Tokamak Experiment] diagnostic and auxiliary systems for confinement, transport, and plasma physics studies

International Nuclear Information System (INIS)

Hooper, E.B.; Allen, S.L.; Casper, T.A.; Thomassen, K.I.

1989-01-01

This note describes the diagnostics and auxiliary systems on the Microwave Tokamak Experiment (MTX) for confinement, transport, and other plasma physics studies. It is intended as a reference on the installed and planned hardware on the machine for those who need more familiarity with this equipment. Combined with the tokamak itself, these systems define the opportunities and capabilities for experiments in the MTX facility. We also illustrate how these instruments and equipment are to be used in carrying out the MTX Operations Plan. Near term goals for MTX are focussed on the absorption and heating by the microwave beam from the FEL, but the Plan also includes using the facility to study fundamental phenomena in the plasma, to control MHD activity, and to drive current noninductively

The opinion and experiences of Dutch orthopedic surgeons and radiologists about diagnostic musculoskeletal ultrasound imaging in primary care: a survey.

Science.gov (United States)

Scholten-Peeters, Gwendolijne G M; Franken, Nicole; Beumer, Annechien; Verhagen, Arianne P

2014-04-01

The use of diagnostic musculoskeletal ultrasound (DMUS) in primary health care has increased in the recent years. Nevertheless, there are hardly any data concerning the reliability, accuracy and treatment consequences of DMUS used by physical therapists or general practitioners. Moreover, there are no papers published about how orthopedic surgeons or radiologists deal with the results of DMUS performed in primary care. Therefore, our aim is to evaluate the opinion, possible advantages or disadvantages and experiences of Dutch orthopedic surgeons and radiologists about DMUS in primary care. A cross-sectional survey in which respondents completed a self-developed questionnaire to determine their opinion, experiences, advantages, disadvantages of performing DMUS in primary care. Questionnaires were sent to 838 Dutch orthopedic surgeons and radiologists of which 213 were returned (response rate 25.4%). Our respondents saw no additional value for health care for diagnostic DMUS in primary care. DMUSs were generally repeated in secondary care. They perceived more disadvantages than advantages of performing DMUS in primary care. Mentioned disadvantages were: 'false positive results' (71.4%), 'lack of experience' (70%), 'insufficient education' (69.5%), not able to relate the outcomes of DMUS with other forms of diagnostic imaging' (65.7%), and 'false negative results' (65.3%). Radiologists and orthopedic surgeons sampled in the Netherlands show low trust in DMUS knowledge of physical therapists and general practitioners. The results should be interpreted with caution because of the small response rate and the lack of representativeness to other countries. Published by Elsevier Ltd.

The tandem mirror experiment upgrade (TMX-U) diagnostics data system

International Nuclear Information System (INIS)

Clauser, J.F.; Parrish, C.P.

1983-01-01

The diagnostics data system on the TMX-U experiment is a general purpose system for handling acquisition, processing, archiving, interactive selection and retrieval, and graphical and tabular outputting of data for pulsed controlled thermonuclear reaction experiments. It routinely acquires and processes three MBytes of data per shot at an average shot rate of one per 8 minutes. The computer hardware consists of five CPUs in a star configuration with approximately 500 MBytes of disk storage at the central node, upon which all CPUs may read and write. The use of several CPUs in parallel increases computing power, while the use of eight disk drives in parallel increases disk speed. All processing, outputting, and acquisition are performed by program modules that allow chained operations, i.e., the inputs for a given task (program execution) are the output(s) of a previous task or tasks. Inputs may be any data-set on disk. Tasks for various shots may overlap so that high priority results are immediately available, while low priority results may backlog and catch up during lulls in experiment operation. Task selection is thus both data-availability and priority driven. It is done in a distributed fashion, independently by each of the five CPUs (not master-slave). A given task will run on any available, suitable CPU. CPU suitability is determined using a device resource control system. Program resource requirements, task definitions, task lists, etc., as well as permanent definitions of all archived data-set configurations and symbols are saved using a commercial data-base system and custom editor, which form a data-system ''notebook''. The actual data are held in a custom data base with a hybrid relational/hierarchical form. Data-set formats are selectable from a rich, yet standardized set that can accommodate a large variety of acquired or calculated data

Diagnostic technique for measuring fusion reaction rate for inertial confinement fusion experiments at Shen Guang-III prototype laser facility

International Nuclear Information System (INIS)

Wang Feng; Peng Xiao-Shi; Liu Shen-Ye; Xu Tao; Kang Dong-Guo

2013-01-01

A study is conducted using a two-dimensional simulation program (Lared-s) with the goal of developing a technique to evaluate the effect of Rayleigh-Taylor growth in a neutron fusion reaction region. Two peaks of fusion reaction rate are simulated by using a two-dimensional simulation program (Lared-s) and confirmed by the experimental results. A neutron temporal diagnostic (NTD) system is developed with a high temporal resolution of ∼ 30 ps at the Shen Guang-III (SG-III) prototype laser facility in China, to measure the fusion reaction rate history. With the shape of neutron reaction rate curve and the spherical harmonic function in this paper, the degree of Rayleigh-Taylor growth and the main source of the neutron yield in our experiment can be estimated qualitatively. This technique, including the diagnostic system and the simulation program, may provide important information for obtaining a higher neutron yield in implosion experiments of inertial confinement fusion

Experience with on-line diagnostics for bushings and current transformers

Energy Technology Data Exchange (ETDEWEB)

Brusetti, R.

2004-02-01

The application of on-line diagnostic techniques is advocated as an alternative, under certain conditions, for the conventional off-line power factor test used to evaluate the condition of bushings and current transformers. Bushings which are tied to critical system apparatus or which cannot be readily removed from service are considered to be excellent candidates for on-line diagnostics. A case history involving 138-KV bushings is used to demonstrate the value of the on-line diagnostic system which, by taking into account power factor capacitance values along with the rate of change, not only detected the high power factor associated with the bushings, but allowed the high power factor bushings to continue operating with a known problem for over a year. With conventional testing, bushings that exhibited this level of power factor would typically be removed from service. 4 refs., 3 figs.

Diagnostics for PLX-alpha

Science.gov (United States)

Gilmore, Mark; Hsu, Scott

2015-11-01

The goal of the Plasma Liner eXperiment PLX-alpha at Los Alamos National Laboratory is to establish the viability of creating a spherically imploding plasma liner for MIF and HED applications, using a spherical array of supersonic plasma jets launched by innovative contoured-gap coaxial plasma guns. PLX- α experiments will focus in particular on establishing the ram pressure and uniformity scalings of partial and fully spherical plasma liners. In order to characterize these parameters experimentally, a suite of diagnostics is planned, including multi-camera fast imaging, a 16-channel visible interferometer (upgraded from 8 channels) with reconfigurable, fiber-coupled front end, and visible and VUV high-resolution and survey spectroscopy. Tomographic reconstruction and data fusion techniques will be used in conjunction with interferometry, imaging, and synthetic diagnostics from modeling to characterize liner uniformity in 3D. Diagnostic and data analysis design, implementation, and status will be presented. Supported by the Advanced Research Projects Agency - Energy - U.S. Department of Energy.

Diagnostic value of ADC in patients with prostate cancer: influence of the choice of b values

International Nuclear Information System (INIS)

Thoermer, Gregor; Otto, Josephin; Reiss-Zimmermann, Martin; Seiwerts, Matthias; Moche, Michael; Garnov, Nikita; Kahn, Thomas; Busse, Harald; Franz, Toni; Do, Minh; Stolzenburg, Jens-Uwe; Horn, Lars-Christian

2012-01-01

To evaluate the influence of the choice of b values on the diagnostic value of the apparent diffusion coefficient (ADC) for detection and grading of prostate cancer (PCa). Forty-one patients with biopsy-proven PCa underwent endorectal 3-T MRI before prostatectomy. Different combinations of b values (0-800 s/mm 2 ) were used to calculate four representative ADC maps. Mean ADCs of tumours and non-malignant tissue were determined. Tumour appearance on different ADC maps was rated by three radiologists as good, fair or poor by assigning a visual score (VS) of 2, 1 or 0, respectively. Differences in the ADC values with the choice of b values were analysed using one-way ANOVA. Choice of b values had a highly (P < 0.001) significant influence on the absolute ADC in each tissue. Maps using b = [50, 800] and [0, 800] were rated best (VS = 1.6 ± 0.3) and second best (1.1 ± 0.3, P < 0.001), respectively. For low-grade carcinomas (Gleason score ≤ 6, 13/41 patients), only the former choice received scores better than fair (VS = 1.4 ± 0.3). Mean tumour ADCs showed significant negative correlation (Spearman's ρ -0.38 to -0.46, P < 0.05) with Gleason score. Absolute ADC values strongly depend on the choice of b values and therefore should be used with caution for diagnostic purposes. A minimum b value greater than zero is recommended for ADC calculation to improve the visual assessment of PCa in ADC maps. (orig.)

Diagnostic value of ADC in patients with prostate cancer: influence of the choice of b values

Energy Technology Data Exchange (ETDEWEB)

Thoermer, Gregor; Otto, Josephin; Reiss-Zimmermann, Martin; Seiwerts, Matthias; Moche, Michael; Garnov, Nikita; Kahn, Thomas; Busse, Harald [Leipzig University Hospital, Department of Diagnostic and Interventional Radiology, Leipzig (Germany); Franz, Toni; Do, Minh; Stolzenburg, Jens-Uwe [Leipzig University Hospital, Department of Urology, Leipzig (Germany); Horn, Lars-Christian [University of Leipzig, Institute of Pathology, Leipzig (Germany)

2012-08-15

To evaluate the influence of the choice of b values on the diagnostic value of the apparent diffusion coefficient (ADC) for detection and grading of prostate cancer (PCa). Forty-one patients with biopsy-proven PCa underwent endorectal 3-T MRI before prostatectomy. Different combinations of b values (0-800 s/mm{sup 2}) were used to calculate four representative ADC maps. Mean ADCs of tumours and non-malignant tissue were determined. Tumour appearance on different ADC maps was rated by three radiologists as good, fair or poor by assigning a visual score (VS) of 2, 1 or 0, respectively. Differences in the ADC values with the choice of b values were analysed using one-way ANOVA. Choice of b values had a highly (P < 0.001) significant influence on the absolute ADC in each tissue. Maps using b = [50, 800] and [0, 800] were rated best (VS = 1.6 {+-} 0.3) and second best (1.1 {+-} 0.3, P < 0.001), respectively. For low-grade carcinomas (Gleason score {<=} 6, 13/41 patients), only the former choice received scores better than fair (VS = 1.4 {+-} 0.3). Mean tumour ADCs showed significant negative correlation (Spearman's {rho} -0.38 to -0.46, P < 0.05) with Gleason score. Absolute ADC values strongly depend on the choice of b values and therefore should be used with caution for diagnostic purposes. A minimum b value greater than zero is recommended for ADC calculation to improve the visual assessment of PCa in ADC maps. (orig.)

Some aspects of diagnostic systems perspective

International Nuclear Information System (INIS)

Korosec, D.

1998-01-01

The integrity and safety of all nuclear power plant systems and components is guaranteed by the high requirements to quality assurance during all phases of design, fabrication, construction and operation. Many of the countries operating nuclear facilities, introduced advanced, sophisticated diagnostic systems for continuous monitoring safety important process parameters. The licensee should perform an assessment of the existing diagnostic systems, often supplied by the original design, their reliability and the need for the introduction of the additional monitoring/diagnostic systems. The operating experience should be taken into account and the assessment of the further needs. On this field has to be made on the results of PSA studies. In addition to the cost benefit analysis the evaluation of the new diagnostic systems in the light of nuclear safety should be also made. Experience, gained from the utilities, which have already installed this kind of the equipment should be very useful. Introducing new diagnostic systems will require often a safety assessment of the necessary modifications. Licensing process should be based on the existing nuclear legislation with certain additional requirements. (author)

Identification of factors associated with diagnostic error in primary care

Science.gov (United States)

2014-01-01

Background Missed, delayed or incorrect diagnoses are considered to be diagnostic errors. The aim of this paper is to describe the methodology of a study to analyse cognitive aspects of the process by which primary care (PC) physicians diagnose dyspnoea. It examines the possible links between the use of heuristics, suboptimal cognitive acts and diagnostic errors, using Reason’s taxonomy of human error (slips, lapses, mistakes and violations). The influence of situational factors (professional experience, perceived overwork and fatigue) is also analysed. Methods Cohort study of new episodes of dyspnoea in patients receiving care from family physicians and residents at PC centres in Granada (Spain). With an initial expected diagnostic error rate of 20%, and a sampling error of 3%, 384 episodes of dyspnoea are calculated to be required. In addition to filling out the electronic medical record of the patients attended, each physician fills out 2 specially designed questionnaires about the diagnostic process performed in each case of dyspnoea. The first questionnaire includes questions on the physician’s initial diagnostic impression, the 3 most likely diagnoses (in order of likelihood), and the diagnosis reached after the initial medical history and physical examination. It also includes items on the physicians’ perceived overwork and fatigue during patient care. The second questionnaire records the confirmed diagnosis once it is reached. The complete diagnostic process is peer-reviewed to identify and classify the diagnostic errors. The possible use of heuristics of representativeness, availability, and anchoring and adjustment in each diagnostic process is also analysed. Each audit is reviewed with the physician responsible for the diagnostic process. Finally, logistic regression models are used to determine if there are differences in the diagnostic error variables based on the heuristics identified. Discussion This work sets out a new approach to studying the

Development of PETAL diagnostics: PETAPhys project

Science.gov (United States)

Raffestin, D.; Boutoux, G.; Baggio, J.; Batani, D.; Blanchot, N.; Bretheau, D.; Hulin, S.; D'Humieres, E.; Granet, F.; Longhi, Th.; Meyer, Ch.; Moreno, Q.; Nuter, R.; Rault, J.; Tikhonchuk, V.; Universite de Bordeaux/Celia Team; CEA. DAM/Cesta Team

2017-10-01

Beginning of autumn 2017, PETAL, a Petawatt laser beam, will be operated for experiments on the LMJ facility at the CEA/ Cesta research center. The PETAPhys project provides a support to the qualification phase of the PETAL laser operation. Within the PETAPhys project, we are developing two simple and robust diagnostics permitting both to characterize the focal spot of the PETAL beam and to measure the hard X-ray spectrum at each shot. The first diagnostic consists in optical imaging of the PETAL beam focal spot in the spectral range of the second and third harmonic radiation emitted from the target. The second diagnostic is a hard X-ray dosimeter consisting in a stack of imaging plates (IP) and filters, either placed inside a re-entrant tube or inserted close to target. Numerical simulations as well as experiments on small scale facilities have been performed to design these diagnostics. If available, preliminary results from PETAL experiments will be discussed. We acknowledge the financial support from the French National Research Agency (ANR) in the framework of ``the investments for the future'' Programme IdEx Bordeaux-LAPHIA (ANR-10-IDEX-03-02).

Godiva and Juliet Diagnostics CED-1 (IER-176)

Energy Technology Data Exchange (ETDEWEB)

Scorby, J C

2011-12-21

A suite of diagnostics are being proposed for use in the Juliet experiment (IER-128). In order to calibrate and test the diagnostics prior to use, the LLNL calibration facility and Godiva pulsed reactor will be used to provide intense sources of neutrons and gammas. Due to the similarities of the Godiva and Juliet radiation fields, the diagnostics being developed and tested for Juliet can also play an on-going role in diagnostics for Godiva as well as, perhaps, other critical assembly experiments. Similar work is also being conducted for IER-147 for the purpose of characterizing the Godiva radiation field in support of an upcoming international nuclear accident dosimetry exercise. Diagnostics developed and fielded under IER-147 can provide valuable data with respect to the neutron and gamma energy spectrums in the vicinity of Godiva which is relevant to the calibration of Juliet diagnostics.

Diagnostic development

International Nuclear Information System (INIS)

Barnett, C.F.; Brisson, D.A.; Greco, S.E.

1978-01-01

During the past year the far-infrared or submillimeter diagnostic research program resulted in three major developments: (1) an optically pumped 0.385-μm D 2 O-laser oscillator-amplifier system was operated at a power level of 1 MW with a line width of less than 50 MHz; (2) a conical Pyrex submillimeter laser beam dump with a retention efficiency greater than 10 4 was developed for the ion temperature Thompson scattering experiment; and (3) a new diagnostic technique was developed that makes use of the Faraday rotation of a modulated submillimeter laser beam to determine plasma current profile. Measurements of the asymmetric distortion of the H/sub α/ (6563 A) spectral line profile show that the effective toroidal drift velocity, dv/sub two vertical bars i/dT/sub i/, may be used as an indicator of plasma quality and as a complement to other ion temperature diagnostics

Influence of Early Exposure to Family Business Experience on Developing Entrepreneurs

Science.gov (United States)

Tarling, Cath; Jones, Paul; Murphy, Lyndon

2016-01-01

Purpose: The purpose of this paper is to consider the influences of family business and exposure to family business ideas upon students and graduates during their transition from higher education (HE) towards career identification of entrepreneurship. It explores influences, values and experiences actively impacting on business start-up following…

Technical diagnostics of steam turbines

International Nuclear Information System (INIS)

Vlckova, B.; Drahy, J.

1987-01-01

This paper deals with practical experience in application of technical diagnostics methods to steam turbines, in particular using pedestal and shaft vibration measurements as well as estimation of bearing metal temperature and ultrasound emission signals. An estimation of effectiveness of the diagnostics methods used is given on the basis of experimental investigations made on a 30-MW turbine. (author)

Radiation shielding for TFTR DT diagnostics

International Nuclear Information System (INIS)

Ku, L.P.; Johnson, D.W.; Liew, S.L.

1994-01-01

The authors illustrate the designs of radiation shielding for the TFTR DT diagnostics using the ACX and TVTS systems as specific examples. The main emphasis here is on the radiation transport analyses carried out in support of the designs. Initial results from the DT operation indicate that the diagnostics have been functioning as anticipated and the shielding designs are satisfactory. The experience accumulated in the shielding design for the TFTR DT diagnostics should be useful and applicable to future devices, such as TPX and ITER, where many similar diagnostic systems are expected to be used

The Influence of Clinical Experience and Photographic Presentation on Age Assessment of Women

DEFF Research Database (Denmark)

Nielsen, Barbara Rubek; Linneberg, Allan; Christensen, Kaare

2016-01-01

as the presentation of participants. OBJECTIVE: It is not known whether the clinical experience of the assessor or photographic presentation have an influence on the assessment of perceived age, which the present study aimed to investigate. METHODS: In a cross-sectional study of 460 women aged 25-93 years, 10...... body. Intra- and inter-assessor agreements between photographic presentations were similar among both assessor groups. The accuracy in age assessment was significantly influenced by the photographic presentation but not by the clinical experience of the assessor. The difference in the mean perceived...... both facial and whole-body photographs. A regression towards the mean age was seen. CONCLUSION: The assessment of perceived age was influenced by the photographic presentation but not by the clinical experience of the assessor....

Novel uses of detonator diagnostics

Energy Technology Data Exchange (ETDEWEB)

Gibson, John R. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Wilde, Zakary Robert [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Tasker, Douglas George [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Francois, Elizabeth Green [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Nakamoto, Teagan Kanakanui Junichi [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Smith, Dalton Kay [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Trujillo, Christopher J. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

2017-09-15

A novel combination of diagnostics is being used to research the physics of detonator initiation. The explosive PETN (Pentaerythritol tetranitrate) commonly used in detonators, is also a piezo-electric material that, when sufficiently shocked, emits an electromagnetic field in the radio frequency (RF) range, along crystal fracture planes. In an effort to capture this RF signal, a new diagnostic was created. A copper foil, used as an RF antenna, was wrapped around a foam fixture encompassing a PETN pellet. Rogowski coils were used to obtain the change in current with respect to time (di/dt) the detonator circuit, in and polyvinylidene difluoride (PVDF) stress sensors were used to capture shockwave arrival time. The goal of these experiments is to use these diagnostics to study the reaction response of a PETN pellet of known particle size to shock loading with various diagnostics including an antenna to capture RF emissions. Our hypothesis is that RF feedback may signify the rate of deflagration to detonation transition (DDT) or lack thereof. The new diagnostics and methods will be used to determine the timing of start of current, bridge burst, detonator breakout timing and RF generated from detonation. These data will be compared to those of currently used diagnostics in order to validate the accuracy of these new methods. Future experiments will incorporate other methods of validation including dynamic radiography, optical initiation and use of magnetic field sensors.

Edge diagnostics for tandem mirror machines

International Nuclear Information System (INIS)

Allen, S.L.

1984-01-01

The edge plasma in a tandem mirror machine shields the plasma core from cold neutral gas and impurities. A variety of diagnostics are used to measure the fueling, shielding, and confinement of the edge plasma in both the end plug and central cell regions. Fast ion gauges and residual gas analyzers measure the gas pressure and composition outside of the plasma. An array of Langmuir probes is used to measure the electron density and temperature. Extreme ultraviolet (euv) and visible spectroscopy are used to measure both the impurity and deuterium densities and to estimate the shielding factor for the core plasma. The linear geometry of a tandem mirror also allows direct measurements of the edge plasma by sampling the ions and electrons lost but the ends of the machine. Representative data obtained by these diagnostics during operation of the Tandem Mirror Experiment (TMX) and Tandem Mirror Experiment-Upgrade (TMX-U) experiments are presented. Diagnostics that are currently being developed to diagnose the edge plasma are also discussed

International telepathology consultation: Three years of experience between the University of Pittsburgh Medical Center and KingMed Diagnostics in China

Directory of Open Access Journals (Sweden)

Chengquan Zhao

2015-01-01

Full Text Available Background: Telepathology is increasingly being employed to support diagnostic consultation services. Prior publications have addressed technology aspects for telepathology, whereas this paper will address the clinical telepathology experience of KingMed Diagnostics, the largest independent pathology medical laboratory in China. Beginning in 2012 the University of Pittsburgh Medical Center (UPMC and KingMed Diagnostics partnered to establish an international telepathology consultation service. Materials and Methods: This is a retrospective study that summarizes the telepathology experience and diagnostic consultation results between UPMC and KingMed over a period of 3 years from January 2012 to December 2014. Results: A total of 1561 cases were submitted for telepathology consultation including 144 cases in 2012, 614 cases in 2013, and 803 in 2014. Most of the cases (61.4% submitted were referred by pathologists, 36.9% by clinicians, and 1.7% by patients in China. Hematopathology received the most cases (23.7%, followed by bone/soft tissue (21.0% and gynecologic/breast (20.2% subspecialties. Average turnaround time (TAT per case was 5.4 days, which decreased from 6.8 days in 2012 to 5.0 days in 2014. Immunostains were required for most of the cases. For some difficult cases, more than one round of immunostains was needed, which extended the TAT. Among 855 cases (54.7% where a primary diagnosis or impression was provided by the referring local hospitals in China, the final diagnoses rendered by UPMC pathologists were identical in 25.6% of cases and significantly modified (treatment plan altered in 50.8% of cases. Conclusion: These results indicate that international telepathology consultation can significantly improve patient care by facilitating access to pathology expertise. The success of this international digital consultation service was dependent on strong commitment and support from leadership, information technology expertise, and

Laser and plasma diagnostics for the OMEGA Upgrade Laser System (invited) (abstract)

International Nuclear Information System (INIS)

Letzring, S.A.

1995-01-01

The upgraded OMEGA laser system will be capable of delivering up to 30 kJ of 351-nm laser light with various temporal pulse shapes onto a variety of targets for both ICF and basic plasma physics experiments. ICF experiments will cover a wide parameter space up to near-ignition conditions, and basic interaction and plasma physics experiments will cover previously unattainable parameter spaces. The laser system is the tool with which the experiments are performed; the diagnostics, both of the laser system and the interaction between the laser and the target, form the heart of the experiment. A new suite of diagnostics is now being designed and constructed. Most of these are based on diagnostics previously fielded on the OMEGA laser system very successfully over the last ten years, but there are some new diagnostics, both for the laser and the interaction experiments, which have had to be invented. Laser system diagnostics include high-energy, full-beam calorimetry for all of the 60 beams of the upgrade; a novel, multispectral energy-measuring system for assessing the tuning of the frequency-multiplying crystals; a beam-balance diagnostic that forms the heart of the energy-balance system; and a peak power diagnostic that forms the heart of the power-balance system. Target diagnostics will include the usual time-integrated x-ray imaging systems, both pinhole cameras and x-ray microscopes; x-ray spectrometers, both imaging and spatially integrating; plamsa calorimeters, including x-ray calorimetry; and time-resolved x-ray diagnostics, both nonimaging and imaging in one and two dimensions. Neutron diagnostics will include several measurements of total yield, secondary, and possibly tertiary yield and neutron spectroscopy with several time-of-flight spectrometers. Other measurements will include ''knock-on'' particle measurements and neutron activation of shell materials as a diagnostic of compressed fuel and shell density

A factorial experiment on image quality and radiation dose

International Nuclear Information System (INIS)

Norrman, E.; Persliden, J.

2005-01-01

To find if factorial experiments can be used in the optimisation of diagnostic imaging, a factorial experiment was performed to investigate some of the factors that influence image quality, kerma area product (KAP) and effective dose (E). In a factorial experiment the factors are varied together instead of one at a time, making it possible to discover interactions between the factors as well as major effects. The factors studied were tube potential, tube loading, focus size and filtration. Each factor was set to two levels (low and high). The influence of the factors on the response variables (image quality, KAP and E) was studied using a direct digital detector. The major effects of each factor on the response variables were estimated as well as the interaction effects between factors. The image quality, KAP and E were mainly influenced by tube loading, tube potential and filtration. There were some active interactions, for example, between tube potential and filtration and between tube loading and filtration. The study shows that factorial experiments can be used to predict the influence of various parameters on image quality and radiation dose. (authors)

Magnetic Resonance Imaging (MRI) with retrograde intralumen contrast enhancement of the rectum in diagnostics of rectovaginal fistulas after combination therapy of rectal cancer. Experience of application

Science.gov (United States)

Usova, A.; Frolova, I.; Afanasev, S.; Tarasova, A.; Molchanov, S.

2016-02-01

Experiment of use of MRI in diagnostics of rectovaginal fistulas after combination therapy of rectal cancer is shown on clinical examples. We used retrograde contrasting of a rectum with 150ml ultrasonic gel to make MRI more informative in case of low diagnostic efficiency of ultrasound, colonoscopy and gynecological examination.

Godiva IV and Juliet Diagnostics CED-1, Rev. 1 (IER-176)

Energy Technology Data Exchange (ETDEWEB)

Scorby, J C; Myers, W L

2012-04-11

The Juliet experiment is currently in preliminary design (IER-128). This experiment will utilize a suite of diagnostics to measure the physical state of the device (temperature, surface motion, stress, etc.) and the total and time rate of change of neutron and gamma fluxes. A variety of potential diagnostics has been proposed in this CED-1 report. Based on schedule and funding, a subset of diagnostics will be selected for testing using the Godiva IV pulsed reactor as a source of neutrons and gammas. The diagnostics development and testing will occur over a two year period (FY12-13) culminating in a final set of diagnostics to be fielded for he Juliet experiment currently proposed for execution in FY15.

The influences on and experiences of becoming nurse entrepreneurs: a Delphi study.

Science.gov (United States)

Wilson, Anne; Averis, Andrea; Walsh, Ken

2003-08-01

There is little known about private practice nursing as an area of advanced practice. As more nurses take the option to develop private practice, the experiences of and influences on nurses currently in private practice might be a useful guide to the pitfalls and difficulties which might be encountered. In addition, an understanding of the experiences of and influences might assist nursing organizations and health services to provide support to nurses who play an integral part in health care delivery in the community. A research study was undertaken utilizing a two-round Delphi Technique to elicit and assess consensus on the reasons for nurses going into business and the experiences they encountered in becoming and being a nurse entrepreneur. The study instrument in round one comprised a questionnaire with statement headings inviting opinions on the influences and experiences of nurses in business. In the second round, levels of agreement were elicited from responders on collated opinions from round one, including statements formed from comments written in round one. The initial questionnaire also included closed questions to obtain a profile of nurses in private practice. Responders were 59 nurses in private practice in round one and 54 nurses in round two. The themes raised could be grouped under headings of influences, advantages/disadvantages, education/experience, skills/knowledge, characteristics and barriers. The level of agreement on the themes was reasonably high. Dissent occurred on issues of increased income, professional image and support structures. This Delphi study has identified key areas of consensus on the experiences of nurses in private practice who have extended their career into the business arena. It has also identified areas in which further work needs to be carried out to understand this work of nurse entrepreneurs.

Diagnostic accuracy of optical coherence tomography in actinic keratosis and basal cell carcinoma.

Science.gov (United States)

Olsen, J; Themstrup, L; De Carvalho, N; Mogensen, M; Pellacani, G; Jemec, G B E

2016-12-01

Early diagnosis of non-melanoma skin cancer (NMSC) is potentially possible using optical coherence tomography (OCT) which provides non-invasive, real-time images of skin with micrometre resolution and an imaging depth of up to 2mm. OCT technology for skin imaging has undergone significant developments, improving image quality substantially. The diagnostic accuracy of any method is influenced by continuous technological development making it necessary to regularly re-evaluate methods. The objective of this study is to estimate the diagnostic accuracy of OCT in basal cell carcinomas (BCC) and actinic keratosis (AK) as well as differentiating these lesions from normal skin. A study set consisting of 142 OCT images meeting selection criterea for image quality and diagnosis of AK, BCC and normal skin was presented uniformly to two groups of blinded observers: 5 dermatologists experienced in OCT-image interpretation and 5 dermatologists with no experience in OCT. During the presentation of the study set the observers filled out a standardized questionnaire regarding the OCT diagnosis. Images were captured using a commercially available OCT machine (Vivosight ® , Michelson Diagnostics, UK). Skilled OCT observers were able to diagnose BCC lesions with a sensitivity of 86% to 95% and a specificity of 81% to 98%. Skilled observers with at least one year of OCT-experience showed an overall higher diagnostic accuracy compared to inexperienced observers. The study shows an improved diagnostic accuracy of OCT in differentiating AK and BCC from healthy skin using state-of-the-art technology compared to earlier OCT technology, especially concerning BCC diagnosis. Copyright © 2016 Elsevier B.V. All rights reserved.

Influence of heart rate on diagnostic accuracy and image quality of 16-slice CT coronary angiography: comparison of multisegment and halfscan reconstruction approaches

International Nuclear Information System (INIS)

Dewey, Marc; Teige, Florian; Hamm, Bernd; Laule, Michael

2007-01-01

The lower the heart rate the better image quality in multislice computed tomography (MSCT) coronary angiography. We prospectively assessed the influence of heart rate on per-patient diagnostic accuracy and image quality of MSCT coronary angiography and compared adaptive multisegment and standard halfscan reconstruction. A consecutive cohort of 126 patients scheduled to undergo conventional coronary angiography was examined with 16-slice CT. For all heart rate groups, per-patient diagnostic accuracy was significantly higher for multisegment than halfscan reconstruction with values of 95 vs. 79% (p 74 bpm, 41 patients). Differences in diagnostic accuracy between adjacent heart rate groups were only significant for halfscan reconstruction for the comparison between the 65-74 and >74 bpm group (p < 0.05). The vessel lengths free of motion artifacts were significantly longer with multisegment reconstruction in all heart rate groups and for all coronary arteries (p < 0.005). For noninvasive MSCT coronary angiography, both per-patient diagnostic accuracy and image quality decline with increasing heart rate, and multisegment reconstruction at high heart rates yields similar results as standard halfscan reconstruction at low heart rates. (orig.)

The influence of career orientations on subjective work experiences

Directory of Open Access Journals (Sweden)

Melinde Coetzee

2010-11-01

Research purpose: The study empirically assessed the causal influence of individuals’ career orientations on their perceived life satisfaction, job or career satisfaction, sense of happiness and their perceptions of work as a valuable activity as aspects of their subjective work experiences. Motivation for study: From an organisational perspective, research on individuals’ inner definitions of career success and satisfaction is needed to guide current selection, placement, development, reward and retention practices. Research design, approach and method: A quantitative survey was conducted on a random sample of 2997 participants at predominantly managerial and supervisory level in the service industry. The measuring instruments consisted of an adapted five-factor career orientations model of the Career Orientations Inventory and a 4-item global subjective work experiences scale. Structural equation modelling (SEM was conducted to achieve the aim of the study. Main findings/results: Statistically significant causal relationships were observed between the career orientations and subjective work experiences variables. Practical implications: Individuals’ career orientations influence their general sense of life and job or career satisfaction, happiness and perceptions of work as a valuable activity. Organisations concerned with the retention of staff need to find a way of aligning individuals’ career needs and motives with the goals and aspirations of the organisation. Contribution/value-add: The research confirms the need for assessing the inner career orientations of employees as these provide valuable information regarding the motives and values driving individuals’ career decision making and subjective experiences of their working lives.

Reversed field pinch diagnostics

International Nuclear Information System (INIS)

Weber, P.G.

1986-01-01

The Reversed Field Pinch (RFP) is a toroidal, axisymmetric magnetic confinement configuration characterized by a magnetic field configuration in which the toroidal magnetic field is of similar strength to the poloidal field, and is reversed at the edge compared to the center. The RFP routinely operates at high beta, and is a strong candidate for a compact fusion device. Relevant attributes of the configuration will be presented, together with an overview of present and planned experiments and their diagnostics. RFP diagnostics are in many ways similar to those of other magnetic confinement devices (such as tokamaks); these lectures will point out pertinent differences, and will present some diagnostics which provide special insights into unique attributes of the RFP

Operational experiences on the Borssele nuclear power plant using computer based surveillance and diagnostic system on-line

International Nuclear Information System (INIS)

Turkcan, E.; Quaadvliet, W.H.J.; Peeters, T.T.J.M.; Verhoef, J.P

1991-06-01

The on-line monitoring and diagnostics system of Borssele nuclear power plant (NPP), designed and established by the ECN Energy Research Foundation, has been operating continuously since 1983. The system is extended in form of multiprocessing, multi-tasking structure performing real-time monitoring, on-line reactor parameters' calculation, data-base preparation for expert systems and providing early information on possible malfunctions even in the incipient stage making alert by passive alarms. The system realized has already been operating in the course of 7 fuel cycles of the reactor starting from start-up through normal power operation. An expert system operating on the VAX work station is added to the surveillance and diagnostics system for data base management of the observed physical parameters relevant to the NPP under supervision. The paper highlights the surveillance and diagnostic modules involved, in their actual hierarchical form in use, presents theoretical considerations applied to the design of the surveillance system together with the results obtained through the 12th to 17th fuel cycles of the NPP including start-ups and shut-downs and reveals the experience thus gained by both utility and ECN through the application of the system described. (author). 19 refs.; 4 figs

Heuristics Reasoning in Diagnostic Judgment.

Science.gov (United States)

O'Neill, Eileen S.

1995-01-01

Describes three heuristics--short-cut mental strategies that streamline information--relevant to diagnostic reasoning: accessibility, similarity, and anchoring and adjustment. Analyzes factors thought to influence heuristic reasoning and presents interventions to be tested for nursing practice and education. (JOW)

Terminology and details of the diagnostic process for testis cancer.

LENUS (Irish Health Repository)

Connolly, Stephen S

2011-03-01

We examined the process and causes of diagnostic delay, defined as the interval from symptom onset to diagnosis, for testis (germ cell) cancer and the change with time. Diagnostic delay influences disease burden and may be subdivided into symptomatic interval, defined as symptom onset to first presentation, and diagnostic interval, defined as first presentation to diagnosis.

Development and Implementation of a New HELIOS Diagnostic using a Fast Piezoelectric Valve on the Prototype Material Plasma Exposure eXperiment

Science.gov (United States)

Ray, Holly; Biewer, Theodore; Caneses, Juan; Green, Jonathan; Lindquist, Elizabeth; McQuown, Levon; Schmitz, Oliver

2017-10-01

A new helium line-ratio spectral monitoring (HELIOS) diagnostic, using a piezoelectric valve with high duty cycles (on/off times ms), allowing for good background correction, and measured particle flowrates on the order of 1020 particles/second is being implemented on Oak Ridge National Laboratory's (ORNL) Prototype Material Plasma Exposure eXperiment (Proto-MPEX). Built in collaboration with the University of Wisconsin - Madison, the HELIOS diagnostic communicates with a Labview program for controlled bursts of helium into the vessel. The open magnetic geometry of Proto-MPEX is ideal for testing and characterizing a HELIOS diagnostic. The circular cross-section with four ports allows for cross comparison between different diagnostics: 1) Helium injection with the piezoelectric puff valve, 2) HELIOS line-of-sight high-gain observation, 3) scan-able Double Langmuir probe, and 4) HELIOS 2D imaging observation. Electron density and temperature measurements from the various techniques will be compared. This work was supported by the US. D.O.E. contract DE-AC05-00OR22725 and DE-SC00013911.

Silent microemboli related to diagnostic cerebral angiography: a matter of operator's experience and patient's disease

International Nuclear Information System (INIS)

Krings, T.; Willmes, K.; Meister, I.G.; Becker, R.; Mull, M.; Thron, A.; Hans, F.J.; Reinges, M.H.T.

2006-01-01

The aim of the present investigation was to elucidate in a large consecutive patient cohort whether the level of training has an effect on the number of microemboli detected by diffusion-weighted imaging (DWI) and which additional risk factors can be identified. A total of 107 consecutive patients in whom a diagnostic cerebral angiography had been performed were prospectively investigated with DWI; 51 angiographies were performed by experienced neuroradiologists, 56 by neuroradiologists in training. In 12 patients (11.1%), a total of 17 new lesions without any clinically overt neurological symptoms were identified. Of these, 12 patients, 11 (91.7%) with 16 lesions were investigated by junior neuroradiologists. In 11 of 12 patients with DWI abnormalities (91.7%), risk factors could be identified (atherosclerotic vessel wall disease, vasculitis, hypercoagulable states). Experienced neuroradiologists performed 21 of 48 angiographies (43.8%) on patients with the above-mentioned risk factors, whereas junior neuroradiologists performed 27 angiographies in this subgroup (46.2%). The rate of diffusion abnormalities in patients with risk factors was 11/48 (22.9%) - considerably higher than in patients without risk factors (1/59; 1.7%). The level of experience and the nature of the underlying disease are predictors of the occurrence of cerebral ischemic events following neuroangiography. Alternative diagnostic modalities should be employed in patients who are investigated for diseases with the highest risk of angiographic complications (i.e., vasculitis, and arteriosclerotic vessel wall disease). If diagnostic angiography remains necessary in these patients, the highest level of practitioner training is necessary to ensure good patient outcome. (orig.)

Inflammatory bowel diseases (IBD) - critical discussion of etiology, pathogenesis, diagnostics, and therapy

International Nuclear Information System (INIS)

Ochsenkuehn, T.; Sackmann, M.; Goeke, B.

2003-01-01

Aims Crohn's disease and ulcerative colitis are the most frequent inflammatory bowel diseases (IBD) with a prevalence of approximately one out of 500.Cytokine research opened new and potent treatment options and thus stimulated clinical and basic research.However, the IBD still remain a challenge for patients and physicians,demanding close cooperation between gastroenterologists,radiologists and surgeons.The basic understanding of IBD,which is necessary for efficient diagnostic and therapeutic concepts is reviewed. Based upon recent publications and our clinical experience we discuss aspects of etiology,pathogenesis,diagnostics,and therapy of Crohn's disease and ulcerative colitis. A genetically influenced, exaggerated and sustained immune response against the own gut flora seems to be one of the most important factors in the pathogenesis of IBD.Not less important are environmental influences.For instance, cigarette smoking had been judged to have some negative influence on the natural course of Crohn's disease.Now,however, recent studies show that smoking is even a significant independent risk factor in the pathogenesis of IBD. Since IBD and especially Crohn's disease can effect the whole body, detailed analysis of inflammatory organ involvement is necessary before therapy.For instance, the MRIenteroclysis technique adds a necessary diagnostic tool for the exploration of those parts of the small bowel that cannot been reached by routine endoscopy like the upper ileum and the lower jejunum. In terms of therapy, a change of paradigms can be observed: patients will no longer be treated only when symptoms arise, but will early be integrated into a therapeutic concept, which is determined by site and extent of the disease and adapted to the abilities and needs of the patient.Furthermore,immunosuppressive agents like azathioprine and 6-mercaptopurine will establish as central concept in the medical treatment of IBD.Discussion IBD-therapy should rather be adapted to the

Complete fabrication of target experimental chamber and implement initial target diagnostics to be used for the first target experiments in NDCX-1

International Nuclear Information System (INIS)

Bieniosek, F.M.; Bieniosek, F.M.; Dickinson, M.R.; Henestroza, E.; Katayanagi, T.; Jung, J.Y.; Lee, C.W.; Leitner, M.; Ni, P.; Roy, P.; Seidl, P.; Waldron, W.; Welch, D.

2008-01-01

The Heavy Ion Fusion Science Virtual National Laboratory (HIFS-VNL) has completed the fabrication of a new experimental target chamber facility for future Warm Dense Matter (WDM) experiments, and implemented initial target diagnostics to be used for the first target experiments in NDCX-1. The target chamber has been installed on the NDCX-I beamline. This achievement provides to the HIFS-VNL unique and state-of-the-art experimental capabilities in preparation for the planned target heating experiments using intense heavy ion beams

Plasma diagnostics using the He I 447.1 nm line at high and low densities

Energy Technology Data Exchange (ETDEWEB)

Gonzalez, Manuel A [Departamento de Fisica Aplicada, E.T.S.I. Informatica, Universidad de Valladolid, 47071 Valladolid (Spain); Ivkovic, Milivoje; Jovicevic, Sonja; Konjevic, Nikola [Institute of Physics, University of Belgrade, 11081 Belgrade, PO Box 68 (Serbia); Gigosos, Marco A; Lara, Natividad, E-mail: manuelgd@termo.uva.es, E-mail: gigosos@coyanza.opt.cie.uva.es [Departamento de Fisica Teorica, Atomica y Optica, Facultad de Ciencias, Universidad de Valladolid, 47071 Valladolid (Spain)

2011-05-18

The broadening of the He I 447.1 nm line and its forbidden components in plasmas is studied using computer simulation techniques and the results are compared with our and other experiments. In these calculations wide ranges of electron densities and temperatures are considered. Experimental measurements are performed with a high electron density pulsed discharge and with a low electron density microwave torch at atmospheric pressure. Both calculations and experimental measurements are extended from previous works towards low electron densities in order to study the accuracy of plasma diagnostics using this line in ranges of interest in different practical applications. The calculation results are compared with experimental profiles registered in plasmas diagnosed using independent techniques. The obtained agreement justifies the use of these line parameters for plasma diagnostics. The influence of self-absorption on line parameters is also analysed. It is shown that the separation between the peaks of the allowed and forbidden components exhibits a clear dependence upon plasma electron density free of self-absorption influence. This allows the peak separation to be used as a good parameter for plasma diagnostics. From the simulation results, a simple fitting formula is applied that permits obtaining the electron number density plasma diagnostics in the range 5 x 10{sup 22}-7 x 10{sup 23} m{sup -3}. At lower densities the fitting of simulated to experimental full profiles is a reliable method for N{sub e} determination.

A Framework to Debug Diagnostic Matrices

Science.gov (United States)

Kodal, Anuradha; Robinson, Peter; Patterson-Hine, Ann

2013-01-01

Diagnostics is an important concept in system health and monitoring of space operations. Many of the existing diagnostic algorithms utilize system knowledge in the form of diagnostic matrix (D-matrix, also popularly known as diagnostic dictionary, fault signature matrix or reachability matrix) gleaned from physical models. But, sometimes, this may not be coherent to obtain high diagnostic performance. In such a case, it is important to modify this D-matrix based on knowledge obtained from other sources such as time-series data stream (simulated or maintenance data) within the context of a framework that includes the diagnostic/inference algorithm. A systematic and sequential update procedure, diagnostic modeling evaluator (DME) is proposed to modify D-matrix and wrapper logic considering least expensive solution first. This iterative procedure includes conditions ranging from modifying 0s and 1s in the matrix, or adding/removing the rows (failure sources) columns (tests). We will experiment this framework on datasets from DX challenge 2009.

College Student Environmental Activism: How Experiences and Identities Influence Environmental Activism Approaches

Science.gov (United States)

King, Laura A. H.

2016-01-01

College student environmental activism is one way students civically engage in addressing social issues. This study explores the environmental activism of twelve college students and how their experiences outside of college and in college influenced their activism. In addition, how students' identities influenced their approach to activism was…

Diagnostic value of ADC in patients with prostate cancer: influence of the choice of b values.

Science.gov (United States)

Thörmer, Gregor; Otto, Josephin; Reiss-Zimmermann, Martin; Seiwerts, Matthias; Moche, Michael; Garnov, Nikita; Franz, Toni; Do, Minh; Stolzenburg, Jens-Uwe; Horn, Lars-Christian; Kahn, Thomas; Busse, Harald

2012-08-01

To evaluate the influence of the choice of b values on the diagnostic value of the apparent diffusion coefficient (ADC) for detection and grading of prostate cancer (PCa). Forty-one patients with biopsy-proven PCa underwent endorectal 3-T MRI before prostatectomy. Different combinations of b values (0-800 s/mm(2)) were used to calculate four representative ADC maps. Mean ADCs of tumours and non-malignant tissue were determined. Tumour appearance on different ADC maps was rated by three radiologists as good, fair or poor by assigning a visual score (VS) of 2, 1 or 0, respectively. Differences in the ADC values with the choice of b values were analysed using one-way ANOVA. Choice of b values had a highly (P < 0.001) significant influence on the absolute ADC in each tissue. Maps using b = [50, 800] and [0, 800] were rated best (VS= 1.6 ± 0.3) and second best (1.1 ± 0.3, P < 0.001), respectively. For low-grade carcinomas (Gleason score ≤ 6, 13/41 patients), only the former choice received scores better than fair (VS = 1.4 ± 0.3). Mean tumour ADCs showed significant negative correlation (Spearman's ρ -0.38 to -0.46, P < 0.05) with Gleason score. Absolute ADC values strongly depend on the choice of b values and therefore should be used with caution for diagnostic purposes. A minimum b value greater than zero is recommended for ADC calculation to improve the visual assessment of PCa in ADC maps. • Absolute ADC values are highly dependent on the choice of b values. • Absolute ADC thresholds should be used carefully to predict tumour aggressiveness. • Subjective ratings of ADC maps involving b = 0 s/mm ( 2 ) are poor to fair. • Minimum b value greater than 0 s/mm ( 2 ) is recommended for ADC calculation.

Novette diagnostic support. Final report

International Nuclear Information System (INIS)

Cirigliano, R.; Franco, E.; Koppel, L.; Rodrigues, B.; Smith, J.

1985-02-01

The primary research areas were the following: (1) contribute x-ray diagnostic, experimental, and data reduction and analysis support for the Novette DANTE x-ray spectrometer experiments. This effort was expanded to improve the overall quality of the Novette database; (2) experimental and calculational characterization of the x-ray imaging properties of an ellipsoidal x-ray collection optic serving as a sensitivity enhancing component of the Transmission Grating Streak Spectrometer; (3) performance simulation of the x-ray dispersion properties of candidate x-ray laser cavity, normal incidence end-mirror optics; (4) contribute x-ray diagnostic, experimental, and data reduction and analysis support for the Novette Henway crystal spectrometer and the MCPIGS microchannel plate intensified grazing incident spectrometer experiments; and (5) perform a technical performance vs cost evaluation of commercially available hardware required to perform the NOVA neutron time-of-flight experiments

Influence of steam generator tube ruptures during semiscale loss-of-coolant experiments

International Nuclear Information System (INIS)

Cozzuol, J.M.; Larson, T.K.

1978-01-01

Examination of the U-tubes in the steam generators of some large commercial pressurized water reactors (PWR) has revealed the existence of leakage and in some cases structural weakening of the tubes. This structural weakening enhances the possibility of tubes rupturing during a hypothesized loss-of-coolant accident (LOCA). Considerable interest has been shown in the analysis of tube ruptures concurrent with a hypothesized LOCA since the presence of tube ruptures has the potential to influence the system thermal-hydraulic response and could foreseeably result in a more severe core thermal behavior than might otherwise occur. To experimentally investigate the influence of steam generator tube ruptures on the thermal-hydraulic response of PWR type system, a series of experiments was conducted in the Semiscale Mod-1 system by EG and G Idaho, Inc., for the U.S. Nuclear Regulatory Commission and the Department of Energy. The primary objective of the experiments was to obtain data which could be used to evaluate the influence of the simulated tube ruptures on the system and core thermal-hydraulic response for a range of tube ruptures that was expected to provide the potential for high cladding temperatures in the Semiscale facility. The experiments were conducted assuming a variety in the number of tubes ruptured during large break loss-of-coolant conditions. The number of experiments conducted permitted determination of the range of tube ruptures for which high peak cladding temperatures could result in the Semiscale Mod-1 system. The paper contains a description of the Semiscale Mod-1 system and a discussion of the steam generator tube rupture tests conducted. The experimental results from the test series and the thermal-hydraulic phenomena found to influence the core thermal response during the experiments are discussed

The experience of organization of consulting and diagnostical work in central polyclinic

International Nuclear Information System (INIS)

Bredikhin, V.V.; Knysh, V.I.; Novikov, V.S.; Taranukha, V.K.; Rogovchenko, G.A.

1995-01-01

Advisability of creating regional large-scale consulting-diagnostical centers is indicated. The consulting-diagnostical assistance is provides for relative to 24 medical professions. Above 64000 patients were consulted and more than 30.5 thousand X-ray and ultrasonic examinations were performed during the period of 1989-1993. 2 tabs

The influence of intuition and communication language in generating student conceptions

Science.gov (United States)

Handhika, J.; Cari, C.; Suparmi, A.; Sunarno, W.

2017-11-01

This research aims to describe the influence of intuition and communication language in generating student conceptions. The conception diagnostic test is used to reveal student conception. The diagnostic test results described and communication language profiled by giving instruction to students to make sentences using physics quantities. Sentences expressed by students are reduced and profiled potential effects. Obtained information that (1) Students generalize non-scientific experience (based on feeling) into the physics problem. This process caused misconception. Communication language can make the students difficult to understand the concept because of the difference meaning of communication and physics language.

Angiography - interventional diagnostic applications

International Nuclear Information System (INIS)

Schild, H.

1994-01-01

The angiography system is very different from the other systems used in diagnostic radiology. The invasivity of angiography requires special, high standards in theoretical and practical training and experience both of beginners and experienced personnel. This textbook fully meets the demand for in-depth and exhaustive information, as it presents: - The fundamentals and techniques of angiography, the vascular anatomy, and many hints and tips of great help in practice. - A comprehensive survey of diagnostic problems and examination approaches, including neuro-angiography, with 221 reproductions of original angiographs, and additional schematic representations. - A special chapter devoted to indication and relevant techniques for the major vascular interventional examinations. - A great number of tables explain at a glance standard examination techniques, indications and diagnostic criteria. (orig./CB) [de

Revisiting the PLUMBER Experiments from a Process-Diagnostics Perspective

Science.gov (United States)

Nearing, G. S.; Ruddell, B. L.; Clark, M. P.; Nijssen, B.; Peters-Lidard, C. D.

2017-12-01

The PLUMBER benchmarking experiments [1] showed that some of the most sophisticated land models (CABLE, CH-TESSEL, COLA-SSiB, ISBA-SURFEX, JULES, Mosaic, Noah, ORCHIDEE) were outperformed - in simulations of half-hourly surface energy fluxes - by instantaneous, out-of-sample, and globally-stationary regressions with no state memory. One criticism of PLUMBER is that the benchmarking methodology was not derived formally, so that applying a similar methodology with different performance metrics can result in qualitatively different results. Another common criticism of model intercomparison projects in general is that they offer little insight into process-level deficiencies in the models, and therefore are of marginal value for helping to improve the models. We address both of these issues by proposing a formal benchmarking methodology that also yields a formal and quantitative method for process-level diagnostics. We apply this to the PLUMBER experiments to show that (1) the PLUMBER conclusions were generally correct - the models use only a fraction of the information available to them from met forcing data (sample of structural or epistemic uncertainty. We conclude by suggesting two ways to improve the experimental design of model intercomparison and/or model benchmarking studies like PLUMBER. First, PLUMBER did not report model parameter values, and it is necessary to know these values to separate parameter uncertainty from structural uncertainty. This is a first order requirement if we want to use intercomparison studies to provide feedback to model development. Second, technical documentation of land models is inadequate. Future model intercomparison projects should begin with a collaborative effort by model developers to document specific differences between model structures. This could be done in a reproducible way using a unified, process-flexible system like SUMMA [2]. [1] Best, M.J. et al. (2015) 'The plumbing of land surface models: benchmarking model

Fuel-motion diagnostics and cineradiography

International Nuclear Information System (INIS)

DeVolpi, A.

1982-09-01

Nuclear and non-nuclear applications of cineradiography are reviewed, with emphasis on diagnostic instrumentation for in-pile transient-reactor safety testing of nuclear fuel motion. The primary instrument for this purpose has been the fast-neutron hodoscope, which has achieved quantitative monitoring of time, location, mass, and velocity of fuel movement under the difficult conditions associated with transient-reactor experiments. Alternative diagnostic devices that have been developed have not matched the capabilities of the hodoscope. Other applications for the fuel-motion diagnostic apparatus are also evolving, including time-integrated radiography and direct time- and space-resolved fuel-pin power monitoring. Although only two reactors are now actively equipped with high-resolution fuel-motion diagnostic systems, studies and tests have been carried out in and for many other reactors

Recent diagnostic developments on LHD

International Nuclear Information System (INIS)

Sudo, S; Ozaki, T; Ashikawa, N; Emoto, M; Goto, M; Hamada, Y; Ida, K; Ido, T; Iguchi, H; Inagaki, S; Isobe, M; Kawahata, K; Khlopenkov, K; Kobuchi, T; Liang, Y; Masuzaki, S; Minami, T; Morita, S; Muto, S; Nagayama, Y; Nakanishi, H; Narihara, K; Nishizawa, A; Ohdachi, S; Osakabe, M; Peterson, B J; Sakakibara, S; Sasao, M; Sato, K; Shoji, M; Tamura, N; Tanaka, K; Toi, K; Tokuzawa, T; Watanabe, K; Watanabe, T; Yamada, I; Goncharov, P; Ejiri, A; Okajima, S; Mase, A; Tsuji-Iio, S; Akiyama, T; Lyon, J F; Vyacheslavov, L N; Sanin, A

2003-01-01

The recent diagnostic developments on the large helical device (LHD) are described briefly. LHD is the largest helical machine with all superconducting coils, and its purpose is to prove the ability of a helical system to confine a fusion-relevant plasma in steady state. According to the missions of LHD research, the diagnostic devices are categorized as follows: diagnostics for (i) high nτ E T plasmas and transport physics; (ii) magnetohydrodynamic stability; (iii) long pulse operation and divertor function; and (iv) energetic particles. These are briefly described focusing on the recent developments of the devices. Since the LHD experiment started in March 1998, five series of experimental campaigns have been carried out. The LHD diagnostics during these periods were operated successfully, and contributed to the analysis of the experimental results

MRI of the knee: how do field strength and radiologist's experience influence diagnostic accuracy and interobserver correlation in assessing chondral and meniscal lesions and the integrity of the anterior cruciate ligament?

International Nuclear Information System (INIS)

Krampla, W.; Roesel, M.; Svoboda, K.; Nachbagauer, A.; Gschwantler, M.; Hruby, W.

2009-01-01

Accuracy of MRI reports is taken for granted. In this paper the inter-observer reliability in the interpretation of meniscal lesions, degree of chondropathy, and integrity of the ACL was analyzed while taking the radiologist's experience and field strength into account. Fifty-two MRI studies of knees were interpreted by 11 radiologists independently. Twenty-two were acquired on 1.0-T, 20 on 1.5-T, and 10 on 3.0-T systems. Four of the radiologists had more than 5 years and seven had 3 to 5 years of experience in interpreting MRI studies. The findings were compared with the intra-operative findings. Inter-observer variance, specificity, and sensitivity were evaluated for each field strength. Inter-observer correlation ranged between 0.370 for cartilage lesions and 0.597 for meniscal tears. Correlation values did not increase with experience or field strength. The number of false reports was dependent on the observer, but not on field strength. The rate of false interpretations was significantly higher for most criteria in the less experienced group. In conclusion, inter-observer correlation was low, although the diagnostic criteria were defined. The use of the classification scheme should be standardized by uniform training. Radiologist experience seems to be more important than field strength. (orig.)

Optical beam diagnostics at the Electron Stretcher Accelerator ELSA; Optische Strahldiagnose an der Elektronen-Stretcher-Anlage ELSA

Energy Technology Data Exchange (ETDEWEB)

Zander, Sven

2013-10-15

At the ELectron Stretcher Accelerator ELSA, a resonant excitation of the horizontal particle oscillations is used to extract the electrons to the experiments. This so-called resonance extraction influences the properties of the extracted beam. The emittance, as a number of the beam quality, was determined by using synchrotron light monitors. To enable broad investigations of the emittance a system of synchrotron light monitors was set up. This system was used to measure the influence of the extraction method on the emittance. Time resolved measurements were conducted to investigate the development of the emittance during an accelerator cycle. To improve the optical beam diagnostics a new beamline to an external laboratory was constructed. There, a new high resolution synchrotron light monitor was commissioned. In addition, a streak camera has been installed to enable longitudinal diagnostics of the beam profiles. First measurements of the longitudinal charge distribution with a time resolution in the range of a few picoseconds were conducted successfully.

INFLUENCE OF SUBJECTIVE EXERCISE EXPERIENCE ON RECREATIONAL EXERCISING

OpenAIRE

Dražen Čular; Frane Žuvela; Ivana K. Lujan

2012-01-01

Effects of physical activity on psychological health and well-being have been intrigued topic for many researches (McAuley & Courneya, 1994). Also, the positive subjective experience lies in the basis of every successful recreational activity and training. However, the influence of different types of activities and their gender specifics regarding self-reported well-being have not yet been investigated. The aims of this study were: (1) to analyse gender differences before and after physical a...

Own and Others’ Prior Experiences Influence Children’s Imitation of Causal Acts

OpenAIRE

Williamson, Rebecca A.; Meltzoff, Andrew N.

2011-01-01

Young children learn from others’ examples, and they do so selectively. We examine whether the efficacy of prior experiences influences children’s imitation. Thirty-six-month-olds had initial experience on a causal learning task either by performing the task themselves or by watching an adult perform it. The nature of the experience was manipulated such that the actor had either an easy or a difficult experience completing the task. Next, a second adult demonstrated an innovative technique fo...

Lithium beam characterization of cylindrical PBFA II hohlraum experiments

International Nuclear Information System (INIS)

Moats, A.R.; Derzon, M.S.; Chandler, G.A.; Haill, T.A.; Johnson, D.J.; Leeper, R.J.; Ruiz, C.L.; Wenger, D.F.

1995-01-01

Sandia National Laboratories is actively engaged in exploring indirect-drive inertial confinement fusion on the Particle Beam Fusion Accelerator (PBFA II) with pulsed-power accelerated lithium ions as the driver. Experiments utilizing cylindrical hohlraum targets were conducted in 1994. Using the incoming ion beam-induced line radiation from titanium wires surrounding these hohlraums, beam profiles during these experiments have been measured and characterized. These data, their comparison/cross-correlation with particle-based beam diagnostics, and an analysis of the beam parameters that most significantly influence target temperature are presented

WCRP COordinated Regional Downscaling EXperiment (CORDEX: a diagnostic MIP for CMIP6

Directory of Open Access Journals (Sweden)

W. J. Gutowski Jr.

2016-11-01

Full Text Available The COordinated Regional Downscaling EXperiment (CORDEX is a diagnostic model intercomparison project (MIP in CMIP6. CORDEX builds on a foundation of previous downscaling intercomparison projects to provide a common framework for downscaling activities around the world. The CORDEX Regional Challenges provide a focus for downscaling research and a basis for making use of CMIP6 global climate model (GCM output to produce downscaled projected changes in regional climates and assess sources of uncertainties in the projections, all of which can potentially be distilled into climate change information for vulnerability, impacts and adaptation studies. CORDEX Flagship Pilot Studies advance regional downscaling by targeting one or more of the CORDEX Regional Challenges. A CORDEX-CORE framework is planned that will produce a baseline set of homogeneous high-resolution, downscaled projections for regions worldwide. In CMIP6, CORDEX coordinates with ScenarioMIP and is structured to allow cross comparisons with HighResMIP and interaction with the CMIP6 VIACS Advisory Board.

Midazolam administration at a department of pediatric radiology: Conscious sedation for diagnostic imaging studies

International Nuclear Information System (INIS)

Madzik, J.; Marcinski, A.; Brzewski, M.; Jakubowska, A.; Roik, D.; Majkowska, Z.; Biejat, A.; Krzemien, G.

2006-01-01

The aims of the study were to evaluate the usefulness of midazolam administration for sedation prior to some diagnostic examinations in children and to present the requirements and rules for sedation in departments of pediatric radiology. From Oct. 2001 to Aug. 2005, two hundred children were investigated after conscious sedation with midazolam. The examinations were: voiding cystourethrography (129), voiding sonocystography (64), barium enema (3), ultrasonography (1), urography (1), X-ray of facial bone (1), and brain CT (1). The children's age-range was 4 months to 13 years 9 months. The decision for sedation was based on conversation with the child and/or parents, their experience with previous examinations, emotional status of the child, and exclusion of contraindications (renal insufficiency, hepatic failure, respiratory/circulatory insufficiency, allergy to benzodiazepines in anamnesis). Midazolam was given orally in a dose of 0.5 mg/kg body weight, 15-20 minutes before examination (already at the department of pediatric radiology). The parents were informed of the possible side effects and what to do after the procedure. All diagnostic procedures with conscious sedation were well tolerated by the children and accepted by the parents. The parents with experience from previous diagnostic procedures indicated that they would want their child to have midazolam again if the examination needed to be repeated. No significant complications were observed in the children receiving midazolam and few adverse effect on voiding during cystourethrography. In three children (2.5, 3, and 5 years old), paradoxical reactions occurred (psychomotor agitation) which disappeared spontaneously after some minutes and had no influence on the procedure. Application of midazolam for conscious sedation diminished anxiety and discomfort from diagnostic procedures and short anterograde amnesia protected the child's mind from painful experience. Conscious sedation should be widely used in

Influence of Tube Current Settings on Diagnostic Detection of Root Fractures Using Cone-beam Computed Tomography: An In Vitro Study.

Science.gov (United States)

Tangari-Meira, Ricardo; Vancetto, José Ricardo; Dovigo, Lívia Nordi; Tosoni, Guilherme Monteiro

2017-10-01

This study assessed the influence of tube current settings (milliamperes [mA]) on the diagnostic detection of root fractures (RFs) using cone-beam computed tomographic (CBCT) imaging. Sixty-eight human anterior and posterior teeth were submitted to root canal preparation, and 34 root canals were filled. The teeth were divided into 2 groups: the control group and the fractured group. RFs were induced using a universal mechanical testing machine; afterward, the teeth were placed in a phantom. Images were acquired using a Scanora 3DX unit (Soredex, Tuusula, Finland) with 5 different mA settings: 4.0, 5.0, 6.3, 8.0, and 10.0. Two examiners (E1 and E2) classified the images according to a 5-point confidence scale. Intra- and interexaminer reproducibility was assessed using the kappa statistic; diagnostic performance was assessed using the area under the receiver operating characteristic curve (AUROC). Intra- and interexaminer reproducibility showed substantial (κE1 = 0.791 and κE2 = 0.695) and moderate (κE1 × E2 = 0.545) agreement, respectively. AUROC was significantly higher (P ≤ .0389) at 8.0 and 10.0 mA and showed no statistical difference between the 2 tube current settings. Tube current has a significant influence on the diagnostic detection of RFs in CBCT images. Despite the acceptable diagnosis of RFs using 4.0 and 5.0 mA, those settings had lower discrimination abilities when compared with settings of 8.0 and 10.0 mA. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Diagnostic accuracy of surface coil MRI in assessing cartilaginous invasion in laryngeal tumours. Do we need contrast-agent administration?

International Nuclear Information System (INIS)

Preda, Lorenzo; Conte, Giorgio; Bonello, Luke; Giannitto, Caterina; Tagliabue, Elena; Raimondi, Sara; Ansarin, Mohssen; De Benedetto, Luigi; Cattaneo, Augusto; Maffini, Fausto; Bellomi, Massimo

2017-01-01

To assess the diagnostic accuracy of MRI performed using surface coils, with and without contrast medium, in predicting thyroid and cricoid cartilage infiltration in laryngeal tumours, and to investigate whether the radiologist's experience influences diagnostic accuracy. We retrospectively enrolled patients with biopsy-proven laryngeal cancer who had undergone preoperative staging MRI and open surgery. Two radiologists with different experience (senior vs. junior) reviewed the MR images without (session A1) and with contrast medium (session A2) separately. We calculated the accuracy of MRI with and without contrast medium in detecting infiltration of the thyroid and cricoid cartilages. Interobserver agreement was calculated by Cohen's Kappa (k). Forty-two patients were enrolled, for a total of 62 cartilages. In session A1 the senior and junior radiologists showed an accuracy of 85% and 71%, respectively, with k = 0.53 (0.33-0.72). In session A2 the senior and junior radiologists showed an accuracy of 84% and 77%, respectively, with k = 0.68 (0.49-0.86). Staging of laryngeal tumours with surface coil MRI showed good diagnostic accuracy in assessing cartilaginous infiltration. We observed similar values of diagnostic accuracy for the analysis performed with and without contrast medium for the senior radiologist. (orig.)

Diagnostic accuracy of surface coil MRI in assessing cartilaginous invasion in laryngeal tumours. Do we need contrast-agent administration?

Energy Technology Data Exchange (ETDEWEB)

Preda, Lorenzo [Universita degli Studi di Pavia, Department of Clinical-Surgical Diagnostic and Pediatric Sciences, Pavia (Italy); Division of Radiology, National Center of Oncological Hadrontherapy (CNAO Foundation), Pavia (Italy); Conte, Giorgio [Universita degli Studi di Milano, Postgraduation School in Radiodiagnostics, Milan (Italy); Bonello, Luke [Division of Radiology, Poliambulanza Hospital, Brescia (Italy); Giannitto, Caterina [European Institute of Oncology, Division of Radiology, Milan (Italy); Tagliabue, Elena; Raimondi, Sara [European Institute of Oncology, Division of Epidemiology and Biostatistics, Milan (Italy); Ansarin, Mohssen; De Benedetto, Luigi; Cattaneo, Augusto [European Institute of Oncology, Division of Head and Neck Surgery, Milan (Italy); Maffini, Fausto [European Institute of Oncology, Division of Pathology, Milan (Italy); Bellomi, Massimo [European Institute of Oncology, Division of Radiology, Milan (Italy); Universita degli Studi di Milano, Oncology and Haematology/Oncology Department, Milan (Italy)

2017-11-15

To assess the diagnostic accuracy of MRI performed using surface coils, with and without contrast medium, in predicting thyroid and cricoid cartilage infiltration in laryngeal tumours, and to investigate whether the radiologist's experience influences diagnostic accuracy. We retrospectively enrolled patients with biopsy-proven laryngeal cancer who had undergone preoperative staging MRI and open surgery. Two radiologists with different experience (senior vs. junior) reviewed the MR images without (session A1) and with contrast medium (session A2) separately. We calculated the accuracy of MRI with and without contrast medium in detecting infiltration of the thyroid and cricoid cartilages. Interobserver agreement was calculated by Cohen's Kappa (k). Forty-two patients were enrolled, for a total of 62 cartilages. In session A1 the senior and junior radiologists showed an accuracy of 85% and 71%, respectively, with k = 0.53 (0.33-0.72). In session A2 the senior and junior radiologists showed an accuracy of 84% and 77%, respectively, with k = 0.68 (0.49-0.86). Staging of laryngeal tumours with surface coil MRI showed good diagnostic accuracy in assessing cartilaginous infiltration. We observed similar values of diagnostic accuracy for the analysis performed with and without contrast medium for the senior radiologist. (orig.)

Ambient diagnostics

CERN Document Server

Cai, Yang

2014-01-01

Part I. FundamentalsIntroductionWhat is Ambient Diagnostics?Diagnostic ModelsMultimedia IntelligenceCrowd SourcingSoft SensorsScience of SimplicityPersonal DiagnosesBasic AlgorithmsBasic ToolsSummaryProblemsTransformationEarly Discoveries of Heartbeat PatternsTransforms, Features, and AttributesSequential FeaturesSpatiotemporal FeaturesShape FeaturesImagery FeaturesFrequency Domain FeaturesMulti-Resolution FeaturesSummaryProblemsPattern RecognitionSimilarities and DistancesClustering MethodsClassification MethodsClassifier Accuracy MeasuresSummaryProblemsPart II. Multimedia IntelligenceSound RecognitionMicrophone AppsModern Acoustic Transducers (Microphones)Frequency Response CharacteristicsDigital Audio File FormatsHeart Sound SensingLung Sound SensingSnore MeterSpectrogram (STFT)Ambient Sound AnalysisSound RecognitionRecognizing Asthma SoundPeak ShiftFeature CompressionRegroupingNoise IssuesFuture ApplicationsSummaryProblemsColor SensorsColor SensingHuman Color VisionColor SensorsColor Matching ExperimentsC...

Skeletal diseases. Diagnostic clinical radiology and differential diagnostics. 2. rev. and enl. ed.

International Nuclear Information System (INIS)

Freyschmidt, J.

1997-01-01

The book focuses on the diagnostic evaluation of idiopathic diseases of the skeleton and bone joints, also including the fundamental healing processes of bone fractures, particularly of stress-induced and pathologic fractures. Ample space has been given to the description and imaging of the course of diseases under treatment by up-to-date therapies, as e.g. for ostitis deformans Paget's disease, or skeletal metastases. This second edition of the book incorporates the progress achieved over the last five years in skeletal diagnostics. The advances in this field have been resulting from basic research work, for instance in molecular biology, or from a variety of completed studies relating to clinical medicine, laboratory chemistry, histopathology and radiology of skeletal diseases, and from experience obtained with the diagnostic radiology methods and techniques, with the potentials and constraints of magnetic resonance imaging (MRI) today being more critically assessed than five years ago. MRI is a modality currently meeting with interest in the context of search for additional diagnostic information, new definition of complete pictures of diseases, or false or overinterpretation of diagnostic findings. (orig./MG). 431 figs [de

Deposition Diagnostics for Next-step Devices

International Nuclear Information System (INIS)

Skinner, C.H.; Roquemore, A.L.; Bader, A.; Wampler, W.R.

2004-01-01

The scale-up of deposition in next-step devices such as ITER will pose new diagnostic challenges. Codeposition of hydrogen with carbon needs to be characterized and understood in the initial hydrogen phase in order to mitigate tritium retention and qualify carbon plasma facing components for DT operations. Plasma facing diagnostic mirrors will experience deposition that is expected to rapidly degrade their reflectivity, posing a new challenge to diagnostic design. Some eroded particles will collect as dust on interior surfaces and the quantity of dust will be strictly regulated for safety reasons - however diagnostics of in-vessel dust are lacking. We report results from two diagnostics that relate to these issues. Measurements of deposition on NSTX with 4 Hz time resolution have been made using a quartz microbalance in a configuration that mimics that of a typical diagnostic mirror. Often deposition was observed immediately following the discharge suggesting that diagnostic shutters should be closed as soon as possible after the time period of interest. Material loss was observed following a few discharges. A novel diagnostic to detect surface particles on remote surfaces was commissioned on NSTX

Influence of previous experience on resistance training on reliability of one-repetition maximum test.

Science.gov (United States)

Ritti-Dias, Raphael Mendes; Avelar, Ademar; Salvador, Emanuel Péricles; Cyrino, Edilson Serpeloni

2011-05-01

The 1-repetition maximum test (1RM) has been widely used to assess maximal strength. However, to improve accuracy in assessing maximal strength, several sessions of the 1RM test are recommended. The aim of this study was to analyze the influence of previous resistance training experience on the reliability of 1RM test. Thirty men were assigned to the following 2 groups according to their previous resistance training experience: no previous resistance training experience (NOEXP) and more than 24 months of resistance training experience (EXP). All subjects performed the 1RM tests in bench press and squat in 4 sessions on distinct days. There was a significant session × group effect in bench press (F = 3.09; p reliability of the 1RM test is influenced by the subject's previous experience in resistance training. Subjects without experience in resistance training require more practice and familiarization and show greater increases in maximal strength between sessions than subjects with previous experience in resistance training.

It's a team game: exploring factors that influence team experience

OpenAIRE

Martin, Eleanor

2015-01-01

Many multiplayer games feature teams, and whether they are pitted against each other or against the game itself it seems likely that the way these teams bond will affect the players' experience. What are the factors that influence the experience of being a team member in a game? To what extent can the game designer manipulate the cohesion of the teams by changing the game design? How does the satisfaction of the player with their team relate to their feeling of cohesion? How does cohesion dif...

Presence and User Experience in a Virtual Environment under the Influence of Ethanol: An Explorative Study.

Science.gov (United States)

Lorenz, Mario; Brade, Jennifer; Diamond, Lisa; Sjölie, Daniel; Busch, Marc; Tscheligi, Manfred; Klimant, Philipp; Heyde, Christoph-E; Hammer, Niels

2018-04-23

Virtual Reality (VR) is used for a variety of applications ranging from entertainment to psychological medicine. VR has been demonstrated to influence higher order cognitive functions and cortical plasticity, with implications on phobia and stroke treatment. An integral part for successful VR is a high sense of presence - a feeling of 'being there' in the virtual scenario. The underlying cognitive and perceptive functions causing presence in VR scenarios are however not completely known. It is evident that the brain function is influenced by drugs, such as ethanol, potentially confounding cortical plasticity, also in VR. As ethanol is ubiquitous and forms part of daily life, understanding the effects of ethanol on presence and user experience, the attitudes and emotions about using VR applications, is important. This exploratory study aims at contributing towards an understanding of how low-dose ethanol intake influences presence, user experience and their relationship in a validated VR context. It was found that low-level ethanol consumption did influence presence and user experience, but on a minimal level. In contrast, correlations between presence and user experience were strongly influenced by low-dose ethanol. Ethanol consumption may consequently alter cognitive and perceptive functions related to the connections between presence and user experience.

Diagnostic imaging in pregraduate integrated curricula

International Nuclear Information System (INIS)

Kainberger, F.; Kletter, K.

2007-01-01

Pregraduate medical curricula are currently undergoing a reform process that is moving away from a traditional discipline-related structure and towards problem-based integrated forms of teaching. Imaging sciences, with their inherently technical advances, are specifically influenced by the effects of paradigm shifts in medical education. The teaching of diagnostic radiology should be based on the definition of three core competencies: in vivo visualization of normal and abnormal morphology and function, diagnostic reasoning, and interventional treatment. On the basis of these goals, adequate teaching methods and e-learning tools should be implemented by focusing on case-based teaching. Teaching materials used in the fields of normal anatomy, pathology, and clinical diagnosis may help diagnostic radiology to play a central role in modern pregraduate curricula. (orig.)

[Diagnostic imaging in pregraduate integrated curricula].

Science.gov (United States)

Kainberger, F; Kletter, K

2007-11-01

Pregraduate medical curricula are currently undergoing a reform process that is moving away from a traditional discipline-related structure and towards problem-based integrated forms of teaching. Imaging sciences, with their inherently technical advances, are specifically influenced by the effects of paradigm shifts in medical education. The teaching of diagnostic radiology should be based on the definition of three core competencies: in vivo visualization of normal and abnormal morphology and function, diagnostic reasoning, and interventional treatment. On the basis of these goals, adequate teaching methods and e-learning tools should be implemented by focusing on case-based teaching. Teaching materials used in the fields of normal anatomy, pathology, and clinical diagnosis may help diagnostic radiology to play a central role in modern pregraduate curricula.

The Influence of Color on the Consumer's Experience of Beer.

Science.gov (United States)

Carvalho, Felipe Reinoso; Moors, Pieter; Wagemans, Johan; Spence, Charles

2017-01-01

Visual appearance (e.g., color) cues set expectations regarding the likely taste and flavor properties of food and drink. These expectations may, in turn, anchor the subsequent tasting experience. In the present study, we examined the influence of the color of a beer on the consumer's experience. Dark and pale beers were evaluated both before and after tasting. Importantly, these beers were indistinguishable in terms of their taste/flavor when tasted without any visual cues. The results indicate that the differing visual appearance of the beers led to clear differences in expected taste/flavor. However, after tasting, no differences in flavor ratings were observed, indicating that the expectations based on visual cues did not influence the actual tasting experience. The participants also expected the dark beer to be more expensive than the pale one. These outcomes suggest that changes in the visual appearance of a beer lead to significant changes in the way in which consumers expect the beer to taste. At the same time, however, our findings also suggest the need for more evidence to be collected in order to determine the boundary conditions on when such crossmodal expectations may vs. may not affect the tasting experience. Highlights: The expected flavor of a beer is affected by its visual appearance. No differences in flavor ratings were observed on tasting. Consumers expect dark beers to be more expensive than pale/amber beers.

Development of a Diagnostic Complexity Questionnaire

International Nuclear Information System (INIS)

Collier, Steve

1998-02-01

The HRP human error analysis project has for some time been investigating what makes certain fault scenarios difficult for operators. One line of research has been to develop a questionnaire to measure diagnostic complexity. This report concerns some theoretical and experimental work underpinning the development of the questionnaire. A study of the literature reviewed the factors or components thought to contribute to difficulty in diagnosing and problem-solving. Two experimental studies of complexity were carried out using two versions of a questionnaire based on the review. The studies were simulator based, using scenarios designed to be diagnostically challenging. A factor-analytic approach to the analysis of the study data was suggested in the literature review. This is reported here (together with other analyses) though the factor analysis did not produce so clear results as was hoped. The present analysis found no clear factor structure with the first version of the complexity questionnaire used in experiment I. Partly because of this result, a factor-analytic approach to a second version of the questionnaire used in experiment II was not considered appropriate. A descriptive and qualitative analysis of the two questionnaire studies and a synthesis of the results from them both was promising. There were indications of components of complexity and some indications of what contributes to a personal perception of high or low diagnostic difficulty in fault scenarios. Components adding to diagnostic difficulty were tentatively named 'severity', 'need for co-operation', 'stress' and 'spread of changes'. Components not adding to difficulty were 'directness of indications', 'familiarity' and 'lack of stress'. There was some evidence of different responses to these components in a comparison of rule-based vs. knowledge-based diagnostic scenarios. These findings and experience with analysis techniques will feed into the design of further work on the human error

Computational evaluation of a pencil ionization chamber in a standard diagnostic radiology beam

International Nuclear Information System (INIS)

Mendonca, Dalila Souza Costa; Neves, Lucio Pereira; Perini, Ana Paula; Belinato, Walmir

2016-01-01

In this work a pencil ionization chamber was evaluated. This evaluation consisted in the determination of the influence of the ionization chamber components in its response. For this purpose, the Monte Carlo simulations and the spectrum of the standard diagnostic radiology beam (RQR5) were utilized. The results obtained, showed that the influence of the ionization chamber components presented no significant influence on the chamber response. Therefore, this ionization chamber is a good alternative for dosimetry in diagnostic radiology. (author)

The influence of selected senses on consumer experience: A brandy case

OpenAIRE

Chris Pentz; Charlene Gerber

2013-01-01

Orientation: Sensory marketing has become a popular marketing technique to enhance consumer experience. Researchers have suggested that marketers should incorporate as many senses as possible in order for sensory marketing to be effective. Research purpose: To investigate the influence of selected senses – sight, sound and smell – on consumers’ experience, specifically in terms of the tastiness of brandy. Motivation for the study: Even though the use of the senses such as sight, sound ...

Influence of heart rate on diagnostic accuracy and image quality of 16-slice CT coronary angiography: comparison of multisegment and halfscan reconstruction approaches

Energy Technology Data Exchange (ETDEWEB)

Dewey, Marc; Teige, Florian; Hamm, Bernd [Charite - Universitaetsmedizin Berlin, Humboldt-Universitaet zu Berlin, Department of Radiology, Chariteplatz 1, P.O. Box 10098, Berlin (Germany); Laule, Michael [Department of Cardiology, Charite, Berlin (Germany)

2007-11-15

The lower the heart rate the better image quality in multislice computed tomography (MSCT) coronary angiography. We prospectively assessed the influence of heart rate on per-patient diagnostic accuracy and image quality of MSCT coronary angiography and compared adaptive multisegment and standard halfscan reconstruction. A consecutive cohort of 126 patients scheduled to undergo conventional coronary angiography was examined with 16-slice CT. For all heart rate groups, per-patient diagnostic accuracy was significantly higher for multisegment than halfscan reconstruction with values of 95 vs. 79% (p < 0.05, <65 bpm, 38 patients), 85 vs. 66% (p < 0.05, 65-74 bpm, 47 patients), and 78% vs. 41% (p < 0.001, >74 bpm, 41 patients). Differences in diagnostic accuracy between adjacent heart rate groups were only significant for halfscan reconstruction for the comparison between the 65-74 and >74 bpm group (p < 0.05). The vessel lengths free of motion artifacts were significantly longer with multisegment reconstruction in all heart rate groups and for all coronary arteries (p < 0.005). For noninvasive MSCT coronary angiography, both per-patient diagnostic accuracy and image quality decline with increasing heart rate, and multisegment reconstruction at high heart rates yields similar results as standard halfscan reconstruction at low heart rates. (orig.)

Low-noise cable for diagnostics, control and instrumentation of the ASDEX tokamak fusion experiment

International Nuclear Information System (INIS)

Gernhardt, J.

1988-11-01

ASDEX (Axially Symmetric Divertor EXperiment) is a large tokamak (R=1.65 m; a=0.4 m) with an air transformer. The relatively large stray field, Bz=10 mT=(100 G); for ρ=5 m, Bz=40 mT=(400 G); for ρ=3 m, BΦ=0.3 T=(3 kG); for ρ=3m, compared with that of an iron transformer, and the cable length 1≤30 m from the experiment to the control room, make mainly the magnetically induced and capacitively coupled noise signal in the cable relatively high. As a result of neutral injection (> 4 MW; 40 kV) and lower hybrid ion cyclotron and Alfven wave heating strong E-fields are produced and noise is coupled into the cables. These magnetic and electric field gradients during the plasma shot vary with time and location. This report tries to show how these noise signals can be reduced without reducing the broadcast frequency of the signal. The Electro Magnetic Compatibility and Interference (EMC, EMI) are discussed. The cost of diagnostic cable, connectors and cable ducts without mounting is approximately DM 700,000.--. (orig.)

Numerical experiment to estimate the validity of negative ion diagnostic using photo-detachment combined with Langmuir probing

Energy Technology Data Exchange (ETDEWEB)

Oudini, N. [Laboratoire des plasmas de décharges, Centre de Développement des Technologies Avancées, Cité du 20 Aout BP 17 Baba Hassen, 16081 Algiers (Algeria); Sirse, N.; Ellingboe, A. R. [Plasma Research Laboratory, School of Physical Sciences and NCPST, Dublin City University, Dublin 9 (Ireland); Benallal, R. [Unité de Recherche Matériaux et Energies Renouvelables, BP 119, Université Abou Bekr Belkaïd, Tlemcen 13000 (Algeria); Taccogna, F. [Istituto di Metodologie Inorganiche e di Plasmi, CNR, via Amendola 122/D, 70126 Bari (Italy); Aanesland, A. [Laboratoire de Physique des Plasmas, (CNRS, Ecole Polytechnique, Sorbonne Universités, UPMC Univ Paris 06, Univ Paris-Sud), École Polytechnique, 91128 Palaiseau Cedex (France); Bendib, A. [Laboratoire d' Electronique Quantique, Faculté de Physique, USTHB, El Alia BP 32, Bab Ezzouar, 16111 Algiers (Algeria)

2015-07-15

This paper presents a critical assessment of the theory of photo-detachment diagnostic method used to probe the negative ion density and electronegativity α = n{sub -}/n{sub e}. In this method, a laser pulse is used to photo-detach all negative ions located within the electropositive channel (laser spot region). The negative ion density is estimated based on the assumption that the increase of the current collected by an electrostatic probe biased positively to the plasma is a result of only the creation of photo-detached electrons. In parallel, the background electron density and temperature are considered as constants during this diagnostics. While the numerical experiments performed here show that the background electron density and temperature increase due to the formation of an electrostatic potential barrier around the electropositive channel. The time scale of potential barrier rise is about 2 ns, which is comparable to the time required to completely photo-detach the negative ions in the electropositive channel (∼3 ns). We find that neglecting the effect of the potential barrier on the background plasma leads to an erroneous determination of the negative ion density. Moreover, the background electron velocity distribution function within the electropositive channel is not Maxwellian. This is due to the acceleration of these electrons through the electrostatic potential barrier. In this work, the validity of the photo-detachment diagnostic assumptions is questioned and our results illustrate the weakness of these assumptions.

Indicators' role: How do they influence Strategic Environmental Assessment and Sustainable Planning - The Chinese experience.

Science.gov (United States)

Gao, Jingjing; Christensen, Per; Kørnøv, Lone

2017-08-15

As an information carrier and communication medium, indicators provide useful decision-making assistance in setting process goals and effectively reaching the goals. The main focus of this article is to investigate indicators' role in influencing planning through Strategic Environmental Assessment (SEA) especially related to Chinese experiences. From the perspective of planning and decision-making theory, the influence on planning is studied as influence of planning structure and influence of planning actors. Such a conceptual framework is applied in order to demonstrate how the use of indicators can influence planning through a SEA process. The study holds two empirical levels. On a general level, based on an online survey, this article investigates SEA practitioners' experiences in using indicators. On a case level, two urban plans are selected to provide more detailed experiences. The case level investigation is based on a documentary study and individual interviews with SEA practitioners/planners. By exploring how indicators influence planning through the structure of and the actors within SEA, this study tries to provide an overview of indicators' role in SEA. The results indicate that indicators are perceived as a useful tool in the Chinese SEA system. By improving and simplifying the procedures of SEA, the indicators exert more structural influence on SEA and on plan making. On the other hand, indicators are also shown to have more influence through political actors than found among technical actors. Copyright © 2017. Published by Elsevier B.V.

Evidence That a Psychopathology Interactome Has Diagnostic Value, Predicting Clinical Needs: An Experience Sampling Study

Science.gov (United States)

van Os, Jim; Lataster, Tineke; Delespaul, Philippe; Wichers, Marieke; Myin-Germeys, Inez

2014-01-01

Background For the purpose of diagnosis, psychopathology can be represented as categories of mental disorder, symptom dimensions or symptom networks. Also, psychopathology can be assessed at different levels of temporal resolution (monthly episodes, daily fluctuating symptoms, momentary fluctuating mental states). We tested the diagnostic value, in terms of prediction of treatment needs, of the combination of symptom networks and momentary assessment level. Method Fifty-seven patients with a psychotic disorder participated in an ESM study, capturing psychotic experiences, emotions and circumstances at 10 semi-random moments in the flow of daily life over a period of 6 days. Symptoms were assessed by interview with the Positive and Negative Syndrome Scale (PANSS); treatment needs were assessed using the Camberwell Assessment of Need (CAN). Results Psychotic symptoms assessed with the PANSS (Clinical Psychotic Symptoms) were strongly associated with psychotic experiences assessed with ESM (Momentary Psychotic Experiences). However, the degree to which Momentary Psychotic Experiences manifested as Clinical Psychotic Symptoms was determined by level of momentary negative affect (higher levels increasing probability of Momentary Psychotic Experiences manifesting as Clinical Psychotic Symptoms), momentary positive affect (higher levels decreasing probability of Clinical Psychotic Symptoms), greater persistence of Momentary Psychotic Experiences (persistence predicting increased probability of Clinical Psychotic Symptoms) and momentary environmental stress associated with events and activities (higher levels increasing probability of Clinical Psychotic Symptoms). Similarly, the degree to which momentary visual or auditory hallucinations manifested as Clinical Psychotic Symptoms was strongly contingent on the level of accompanying momentary paranoid delusional ideation. Momentary Psychotic Experiences were associated with CAN unmet treatment needs, over and above PANSS

Screening diagnostics of antivital experiences and propensity toward impulsive, autoagressive behavior in adolescents (preliminary results

Directory of Open Access Journals (Sweden)

Bannikov G.S.,

2014-08-01

Full Text Available Development of methods for revealing antivital experiences and propensity to autoaggressive behavior in educational institutions is one of the key steps in developing strategies for the primary prevention of suicidal behavior in adolescents. The purpose of this study was to develop an effective screening diagnostic package aimed at identifying antivital experiences and propensity to autoaggressive behavior. The survey methods we used were: Beck Hopelessness Scale, Russell Loneliness Scale, A.G. Shmelev Suicide Risk Questionnaire, PDQ-IV Borderline disorder and Narcissism scales. At the first stage we examined 750 minors aged 12-18 and identified risk group (85 people – 11.4%, which included adolescents with high levels of both individual scales, and their combination. At the second stage we examined 10 adolescents at risk. In 7 of them (70% were identified antivital, suicidal thoughts of passive or compulsive nature, signs of subjective and objective socio- psychological maladjustment. Our preliminary conclusion is that high levels of hopelessness and loneliness in adolescents are stable predictors of mental and emotional distress and psychosocial maladjustment in the period of psychological crises and decompensation of character accentuation of borderline and narcissistic types. These scales can be recommended for primary screening of antivital (depressive experiences and propensity to autoaggressive behavior in adolescents.

Simulation and interpretation of ion beam diagnostics on PBFA-II

International Nuclear Information System (INIS)

Mehlhorn, T.A.; Nelson, W.E.; Maenchen, J.E.; Stygar, W.A.; Ruiz, C.L.; Lockner, T.R.; Johnson, D.J.

1988-03-01

Ion diode and beam focusing experiments are in progress on PBFA-II working towards an ultimate goal of significant burn of an ICF pellet. Beam diagnostics on these experiments include a Thomson parabola, K/sub alpha/ x-ray pinhole cameras, filtered ion pinhole cameras, and a magnetic spectrometer. We are developing two new computer programs to simulate and interpret the data obtained from these diagnostics. VIDA is a VAX-based program that manipulates and unfolds data from digitized particle and x-ray diagnostic images. VIDA operations include: image display, background substraction, relative-to-absolute coordinate transformations, and image projection into the beam reference frame. PICDIAG allows us to study the effects of time-dependent ion focusing on the performance of ion beam diagnostics. 10 refs., 5 figs

How Supervisor Experience Influences Trust, Supervision, and Trainee Learning: A Qualitative Study.

Science.gov (United States)

Sheu, Leslie; Kogan, Jennifer R; Hauer, Karen E

2017-09-01

Appropriate trust and supervision facilitate trainees' growth toward unsupervised practice. The authors investigated how supervisor experience influences trust, supervision, and subsequently trainee learning. In a two-phase qualitative inductive content analysis, phase one entailed reviewing 44 internal medicine resident and attending supervisor interviews from two institutions (July 2013 to September 2014) for themes on how supervisor experience influences trust and supervision. Three supervisor exemplars (early, developing, experienced) were developed and shared in phase two focus groups at a single institution, wherein 23 trainees validated the exemplars and discussed how each impacted learning (November 2015). Phase one: Four domains of trust and supervision varying with experience emerged: data, approach, perspective, clinical. Early supervisors were detail oriented and determined trust depending on task completion (data), were rule based (approach), drew on their experiences as trainees to guide supervision (perspective), and felt less confident clinically compared with more experienced supervisors (clinical). Experienced supervisors determined trust holistically (data), checked key aspects of patient care selectively and covertly (approach), reflected on individual experiences supervising (perspective), and felt comfortable managing clinical problems and gauging trainee abilities (clinical). Phase two: Trainees felt the exemplars reflected their experiences, described their preferences and learning needs shifting over time, and emphasized the importance of supervisor flexibility to match their learning needs. With experience, supervisors differ in their approach to trust and supervision. Supervisors need to trust themselves before being able to trust others. Trainees perceive these differences and seek supervision approaches that align with their learning needs.

Influences of Eagle Ford Shale Development on Superintendent Leadership Experiences: A Phenomenological Narrative

Science.gov (United States)

Moczygemba, Jeanette Winn

2017-01-01

This phenomenological narrative study examined the effects of the Eagle Ford Shale development upon public school superintendent leadership experiences during the boom phase of the energy industry expansion. The four research questions investigated the shale development's influence on experiences in the areas of instruction, finance and…

The Influence of Technology on Geographic Cognition and Tourism Experience

DEFF Research Database (Denmark)

Tussyadiah, Iis; Zach, Florian

2011-01-01

Tourists today have access to retrieve voluminous geographic information about destinations while travelling as various context-aware geographic technologies have become increasingly ubiquitous. These technologies are suggested to aid tourists in the process of destination consumption to gain...... meaningful tourism experiences. This study found that people using different types of technologies for everyday routine perceive that these technologies help them with spatial inference to acquire geographic information; making sense of direction and orientation, and interacting with and within places....... Further, within the travel context, geographic technology was found to influence the dimensions of sensory, affective and social experience, as well as the cognitive and bodily experience. The type of technology used for travel was also found to be a significant predictor of the sensory, affective...

Optimal experience in online shopping: the influence of flow

OpenAIRE

Sharkey, Ultan; Acton, Thomas; Conboy, Kieran

2012-01-01

peer-reviewed This research investigates the influences of product presentation modes, decision behaviour and the consumer experience on Internet shopping. The growth of online shopping brings with it cognitive challenges for consumers attempting to assess large numbers of options in purchase decisions. Further, there is little guidance for vendors in terms of presenting large numbers of product. In this study, online shopping is viewed as an information processing, decision ta...

Delusional disorder-jealous type: how inclusive are the DSM-IV diagnostic criteria?

Science.gov (United States)

Easton, Judith A; Shackelford, Todd K; Schipper, Lucas D

2008-03-01

Delusional disorder-jealous type is a new diagnostic category in the Diagnostic and Statistical Manual for Disorders, Fourth Edition, Text Revision (DSM-IV-TR; American Psychiatric Association, 2000) in which delusions concerning a partner's infidelity must be present. Therefore, patients who experience a jealousy disorder, but do not experience delusions will not fit the diagnostic criteria. Using a database of 398 case histories of jealousy disorders reported in the literature from 1940-2002, we examined the percentage of these cases that met the diagnostic criteria for delusional disorder-jealous type. Only 4% of the cases met all diagnostic criteria. This is the first systematic comparison of the prevalence of these disorders. The results provide evidence that the diagnostic criteria are not inclusive, as most individuals suffering with a jealousy disorder were excluded from the diagnosis.

Infrared laser diagnostics for ITER

International Nuclear Information System (INIS)

Hutchinson, D.P.; Richards, R.K.; Ma, C.H.

1995-01-01

Two infrared laser-based diagnostics are under development at ORNL for measurements on burning plasmas such as ITER. The primary effort is the development of a CO 2 laser Thomson scattering diagnostic for the measurement of the velocity distribution of confined fusion-product alpha particles. Key components of the system include a high-power, single-mode CO 2 pulsed laser, an efficient optics system for beam transport and a multichannel low-noise infrared heterodyne receiver. A successful proof-of-principle experiment has been performed on the Advanced Toroidal Facility (ATF) stellerator at ORNL utilizing scattering from electron plasma frequency satellites. The diagnostic system is currently being installed on Alcator C-Mod at MIT for measurements of the fast ion tail produced by ICRH heating. A second diagnostic under development at ORNL is an infrared polarimeter for Faraday rotation measurements in future fusion experiments. A preliminary feasibility study of a CO 2 laser tangential viewing polarimeter for measuring electron density profiles in ITER has been completed. For ITER plasma parameters and a polarimeter wavelength of 10.6 microm, a Faraday rotation of up to 26 degree is predicted. An electro-optic polarization modulation technique has been developed at ORNL. Laboratory tests of this polarimeter demonstrated a sensitivity of ≤ 0.01 degree. Because of the similarity in the expected Faraday rotation in ITER and Alcator C-Mod, a collaboration between ORNL and the MIT Plasma Fusion Center has been undertaken to test this polarimeter system on Alcator C-Mod. A 10.6 microm polarimeter for this measurement has been constructed and integrated into the existing C-Mod multichannel two-color interferometer. With present experimental parameters for C-Mod, the predicted Faraday rotation was on the order of 0.1 degree. Significant output signals were observed during preliminary tests. Further experiment and detailed analyses are under way

Analysis of Factors Influencing Diagnostic Accuracy of T-SPOT.TB for Active Tuberculosis in Clinical Practice.

Science.gov (United States)

Zhang, Lifan; Shi, Xiaochun; Zhang, Yueqiu; Zhang, Yao; Huo, Feifei; Zhou, Baotong; Deng, Guohua; Liu, Xiaoqing

2017-08-10

T-SPOT.TB didn't perform a perfect diagnosis for active tuberculosis (ATB), and some factors may influence the results. We did this study to evaluate possible factors associated with the sensitivity and specificity of T-SPOT.TB, and the diagnostic parameters under varied conditions. Patients with suspected ATB were enrolled prospectively. Influencing factors of the sensitivity and specificity of T-SPOT.TB were evaluated using logistic regression models. Sensitivity, specificity, predictive values (PV), and likelihood ratios (LR) were calculated with consideration of relevant factors. Of the 865 participants, 205 (23.7%) had ATB, including 58 (28.3%) microbiologically confirmed TB and 147 (71.7%) clinically diagnosed TB. 615 (71.7%) were non-TB. 45 (5.2%) cases were clinically indeterminate and excluded from the final analysis. In multivariate analysis, serous effusion was the only independent risk factor related to lower sensitivity (OR = 0.39, 95% CI: 0.18-0.81) among patients with ATB. Among non-TB patients, age, TB history, immunosuppressive agents/glucocorticoid treatment and lymphocyte count were the independent risk factors related to specificity of T-SPOT.TB. Sensitivity, specificity, PV+, PV-, LR+ and LR- of T-SPOT.TB for diagnosis of ATB were 78.5%, 74.1%, 50.3%, 91.2%, 3.0 and 0.3, respectively. This study suggests that influencing factors of sensitivity and specificity of T-SPOT.TB should be considered for interpretation of T-SPOT.TB results.

Spectroscopic diagnostics for liquid lithium divertor studies on National Spherical Torus Experiment

International Nuclear Information System (INIS)

Soukhanovskii, V. A.; Roquemore, A. L.; Bell, R. E.; Kaita, R.; Kugel, H. W.

2010-01-01

The use of lithium-coated plasma facing components for plasma density control is studied in the National Spherical Torus Experiment (NSTX). A recently installed liquid lithium divertor (LLD) module has a porous molybdenum surface, separated by a stainless steel liner from a heated copper substrate. Lithium is deposited on the LLD from two evaporators. Two new spectroscopic diagnostics are installed to study the plasma surface interactions on the LLD: (1) A 20-element absolute extreme ultraviolet (AXUV) diode array with a 6 nm bandpass filter centered at 121.6 nm (the Lyman-α transition) for spatially resolved divertor recycling rate measurements in the highly reflective LLD environment, and (2) an ultraviolet-visible-near infrared R=0.67 m imaging Czerny-Turner spectrometer for spatially resolved divertor D I, Li I-II, C I-IV, Mo I, D 2 , LiD, CD emission and ion temperature on and around the LLD module. The use of photometrically calibrated measurements together with atomic physics factors enables studies of recycling and impurity particle fluxes as functions of LLD temperature, ion flux, and divertor geometry.

Pain in diagnostic hysteroscopy: a multivariate analysis after a randomized, controlled trial.

Science.gov (United States)

Mazzon, Ivan; Favilli, Alessandro; Grasso, Mario; Horvath, Stefano; Bini, Vittorio; Di Renzo, Gian Carlo; Gerli, Sandro

2014-11-01

To study which variables are able to influence women's experience of pain during diagnostic hysteroscopy. Multivariate analysis (phase II) after a randomized, controlled trial (phase I). Endoscopic gynecologic center. In phase I, 392 patients were analyzed. Group A: 197 women with carbon dioxide (CO2); group B: 195 women with normal saline. In phase II, 392 patients were assigned to two different groups according to their pain experience as measured by a visual analogue scale (VAS): group VAS>3 (170 patients); group VAS≤3 (222 patients). Free-anesthesia diagnostic hysteroscopy performed using CO2 or normal saline as distension media. Procedure time, VAS score, image quality, and side effects during and after diagnostic hysteroscopy. In phase I the median pain score in group A was 2, whereas in group B it was 3. In phase II the duration of the procedure, nulliparity, and the use of normal saline were significantly correlated with VAS>3. A higher presence of cervical synechiae was observed in the group VAS>3. The multivariate analysis revealed an inverse correlation between parity and a VAS>3, whereas the use of normal saline, the presence of synechiae in the cervical canal, and the duration of the hysteroscopy were all directly correlated to a VAS score>3. Pain in hysteroscopy is significantly related to the presence of cervical synechiae, to the duration of the procedure, and to the use of normal saline; conversely, parity seems to have a protective role. NCT01873391. Copyright © 2014 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

Diagnostics of ST Plasmas in NSTX: Challenges and Opportunities

International Nuclear Information System (INIS)

Johnson, D.; Efthimion, P.; Foley, J.; Jones, B.; Mazzucato, E.; Park, H.; Taylor, G.; Levinton, F.; Luhmann, N.

2001-01-01

This paper will highlight some of the challenges and opportunities present in the diagnosis of spherical torus (ST) plasmas on the National Spherical Torus Experiment (NSTX) and discuss the corresponding diagnostic development that is presently underway. After a brief description of diagnostic systems currently installed, examples of ST-specific diagnostic challenges will be highlighted, as will another case, where the ST configuration offers opportunities for new measurements

DIAGNOSTIC OF CNC LATHE WITH QC 20 BALLBAR SYSTEM

Directory of Open Access Journals (Sweden)

Jerzy Józwik

2015-11-01

Full Text Available This paper presents the evaluation of the influence of the feedmotion speed on the value of selected geometric errors of CNC lathe CTX 310 eco by DMG, indentified by QC 20 Ballbar system. Diagnostically evaluated were: the deviation of the axis squareness, reversal spike, and backlash. These errors determine the forming of the dimensional and shape accuracy of a machine tool. The article discusses the process of the CNC diagnostic test, the diagnostic evaluation and formulates guidelines on further CNC operation. The results of measurements were presented in tables and diagrams.

Additive manufacture (3d printing) of plasma diagnostic components and assemblies for fusion experiments

Science.gov (United States)

Sieck, Paul; Woodruff, Simon; Stuber, James; Romero-Talamas, Carlos; Rivera, William; You, Setthivoine; Card, Alexander

2015-11-01

Additive manufacturing (or 3D printing) is now becoming sufficiently accurate with a large range of materials for use in printing sensors needed universally in fusion energy research. Decreasing production cost and significantly lowering design time of energy subsystems would realize significant cost reduction for standard diagnostics commonly obtained through research grants. There is now a well-established set of plasma diagnostics, but these expensive since they are often highly complex and require customization, sometimes pace the project. Additive manufacturing (3D printing) is developing rapidly, including open source designs. Basic components can be printed for (in some cases) less than 1/100th costs of conventional manufacturing. We have examined the impact that AM can have on plasma diagnostic cost by taking 15 separate diagnostics through an engineering design using Conventional Manufacturing (CM) techniques to determine costs of components and labor costs associated with getting the diagnostic to work as intended. With that information in hand, we set about optimizing the design to exploit the benefits of AM. Work performed under DOE Contract DE-SC0011858.

Schlieren, Phase-Contrast, and Spectroscopy Diagnostics for the LBNL HIF Plasma Channel Experiment

Science.gov (United States)

Ponce, D. M.; Niemann, C.; Fessenden, T. J.; Leemans, W.; Vandersloot, K.; Dahlbacka, G.; Yu, S. S.; Sharp, W. M.; Tauschwitz, A.

1999-11-01

The LBNL Plasma Channel experiment has demonstrated stable 42-cm Z-pinch discharge plasma channels with peak currents in excess of 50 kA for a 7 torr nitrogen, 30 kV discharge. These channels offer the possibility of transporting heavy-ion beams for inertial fusion. We postulate that the stability of these channels resides in the existance of a neutral-gas density depresion created by a pre-pulse discharge before the main capacitor bank discharge is created. Here, we present the results and experimental diagnostics setup used for the study of the pre-pulse and main bank channels. Observation of both the plasma and neutral gas dynamics is achieved. Schlieren, Zernike's phase-contrast, and spectroscopic techniques are used. Preliminary Schlieren results show a gas shockwave moving radially at a rate of ≈ 10^6 mm/sec as a result of the fast and localized deposited energy during the evolution of the pre-pulse channel. This data will be used to validate simulation codes (BUCKY and CYCLOPS).

Overview of MFTF supervisory control and diagnostics system software

International Nuclear Information System (INIS)

Ng, W.C.

1979-01-01

The Mirror Fusion Test Facility (MFTF) at the Lawrence Livermore Laboratory (LLL) is currently the largest mirror fusion research project in the world. Its Control and Diagnostics System is handled by a distributed computer network consisting of nine Interdata minicomputer systems and about 65 microprocessors. One of the design requirements is tolerance of single-point failure. If one of the computer systems becomes inoperative, the experiment can still be carried out, although the system responsiveness to operator command may be degraded. In a normal experiment cycle, the researcher can examine the result of the previous experiment, change any control parameter, fire a shot, collect four million bytes of diagnostics data, perform intershot analysis, and have the result presented - all within five minutes. The software approach adopted for the Supervisory Control and Diagnostics System features chief programmer teams and structured programming. Pascal is the standard programming language in this project

Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care.

Science.gov (United States)

Goyder, Clare R; Jones, Caroline H D; Heneghan, Carl J; Thompson, Matthew J

2015-12-01

Because of the difficulties inherent in diagnosis in primary care, it is inevitable that diagnostic errors will occur. However, despite the important consequences associated with diagnostic errors and their estimated high prevalence, teaching and research on diagnostic error is a neglected area. To ascertain the key learning points from GPs' experiences of diagnostic errors and approaches to clinical decision making associated with these. Secondary analysis of 36 qualitative interviews with GPs in Oxfordshire, UK. Two datasets of semi-structured interviews were combined. Questions focused on GPs' experiences of diagnosis and diagnostic errors (or near misses) in routine primary care and out of hours. Interviews were audiorecorded, transcribed verbatim, and analysed thematically. Learning points include GPs' reliance on 'pattern recognition' and the failure of this strategy to identify atypical presentations; the importance of considering all potentially serious conditions using a 'restricted rule out' approach; and identifying and acting on a sense of unease. Strategies to help manage uncertainty in primary care were also discussed. Learning from previous examples of diagnostic errors is essential if these events are to be reduced in the future and this should be incorporated into GP training. At a practice level, learning points from experiences of diagnostic errors should be discussed more frequently; and more should be done to integrate these lessons nationally to understand and characterise diagnostic errors. © British Journal of General Practice 2015.

Everyday Experiences of 18- to 36-Month-Old Children from Migrant Families: The Influence of Host Culture and Migration Experience

Science.gov (United States)

Driessen, Ricarda; Leyendecker, Birgit; Scholmerich, Axel; Harwood, Robin

2010-01-01

We explored the everyday experiences of 18- to 36-month-old toddlers at two study sites and the influence of adaptation to the host culture on the everyday experiences of children from migrant families. First- and second-generation Puerto Rican families in Connecticut, USA, first- and second-generation Turkish families in Bochum, Germany, as well…

New to improve the diagnosis of respiratory diseases (experience of the organization of diagnostic services in pulmonological center of Sverdlovsk)

International Nuclear Information System (INIS)

Shulutko, M.L.; Vinner, M.G.; Voroshilina, E.N.; Mazur, G.I.; Motus, I.Ya.; Pelevina, T.P.; Khmelinina, L.N.

1986-01-01

The 12-year experience in forming a system of organizational measures for diagnosis of pulmonary diseases in an industrial area with the adult population of 3.616 mln is summed up. The major stages of diagnosis were studied, measures for its improvement defined, the main causes of diagnostic errors brought to light. It is concluded that separate examination of patients with pulmonary patchology in different institutions is appropriate

The ICF National Diagnostic Plan (NDP) 9/19/17

Energy Technology Data Exchange (ETDEWEB)

Kilkenny, J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Richau, G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Sangster, C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Batha, S. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Bell, P. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Larson, D. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Bradley, D. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Leeper, R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Herrmann, H. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Bourdon, C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Hilsabeck, T. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2017-10-02

A major goal of the Stockpile Stewardship Program (SSP) is to deliver validated numerical models, benchmarked against experiments that address relevant and important issues and provide data that stress the codes and our understanding. DOENNSA has made significant investments in major facilities and high-performance computing to successfully execute the SSP. The more information obtained about the physical state of the plasmas produced, the more stringent the test of theories, models, and codes can be, leading to increased confidence in our predictive capability. To fully exploit the world-leading capabilities of the ICF program, a multi-year program to develop and deploy advanced diagnostics has been developed by the expert scientific community. To formalize these activities NNSA’s Acting Director for the Inertial Confinement Fusion Program directed the formation and duties of the National Diagnostics Working Group (NDWG) in a Memorandum 11/3/16 (Appendix A). The NDWG identified eight transformational diagnostics, shown in Table 1, that will provide unprecedented information from experiments in support of the SSP at NIF, Z and OMEGA. Table 1 shows how the missions of the SSP experiments including materials, complex hydrodynamics, radiation flow and effects and thermo-nuclear burn and boost will produce new observables, which will be measured using a variety of largely new diagnostic technologies used in the eight transformational diagnostics. The data provided by these diagnostics will validate and improve the physics contained within the SSP’s simulations and both uncover and quantify important phenomena that lie beyond our present understanding.

Studying the effects of operators' problem solving behaviour when using a diagnostic expert system developed for the nuclear industry

International Nuclear Information System (INIS)

Holmstroem, C.B.O.; Volden, F.S.; Endestad, T.

1992-01-01

This paper describes an experiment with the purpose to also illustrate and discuss some of the methodological problems when empirically studying problem solving. The experiment which was the second in a series, conducted at the OECD Halden Reactor Project, aimed to assess the effect on nuclear power plant operators diagnostic behaviour when using a rule-based diagnostic expert system. The rule-based expert system used in the experiment is called DISKET (Diagnosis System Using Knowledge Engineering Technique) and was originally developed by the Japan Atomic Energy Research Institute (JAERI). The experiment was performed in the Halden man-machine laboratory using a full scope pressurized water reactor simulator. Existing data collection methods and experimental design principles includes possibilities but also limitations. This is discussed and experiences are presented. Operator performance in terms of quality of diagnosis is improved by the use of DISKET. The use of the DISKET system also influences operators problem solving behaviour. The main difference between the two experimental conditions can be characterized as while the DISKET users during the diagnosis process are following a strategy which is direct and narrowed, the non-DISKET users are using a much broader and less focused search when trying to diagnose a disturbance. (author)

Design of neutron diagnostic for MTX

International Nuclear Information System (INIS)

Ogawa, Toshihide; Oasa, Kazumi; Hoshino, Katsumichi; Odajima, Kazuo; Maeda, Hikosuke

1990-07-01

A neutron diagnostic system was designed for the Microwave Tokamak Experiment being carried out at the lawrence Livermore National Laboratory. High speed measurements are important to this experiment. Plastic scintillator is used for this fast response detection of neutron. Proportional counters and fission counters are used for the total neutron emission rate measurements. (author)

Diagnostic accuracy of Tc-99m MIBI scintimammography in breast cancer

International Nuclear Information System (INIS)

Park, Jung Mi; Choi, Joon Young; Lee, Kyung Han; Kim, Sang Eun; Kim, Byung Tae; Nam, Suk Jin; Yang, Jung Hyun

1998-01-01

For the characterization of breast mass, the results of Tc-99m MIBI scintimmamography were much varied between studies. This may result from various factors including tumor size, experience of observer and expression of MDR gene, So, we evaluated the influence of tumor size, knowledge of clinical information, experience of observer and expression of Pgp53 gene on the accuracy of MIBI scintimmamography for the characterization of breast mass. MIBI scintimmamography was prospectively performed in 44 patients with breast masses before surgical resection. The anterior and both lateral prone chest images were acquired at 5 min and 3 hour after injection of 740 MBq of Tc-99m MIBI. Two independent observers reviewed the images for characterization of breast mass without any clinical information. Then the images were reviewed with knowledge of clinical information including tumor size and location. If lesions proved to be malignant, presence of Pgp53 was evaluated by immunohistochemical staining. The comparisons of intraobserver/interobserver diagnostic accuracy and variance were performed by chi-square test and kappa test, respectively. The 54.4% of all lesions (24/44) were malignant. The sensitive, specificity and accuracy of scintimmamography were 73.3%, 82.8%, 79.5% and 73.3%, 84.5%, 80.7% with/without clinical information in observer A, and 76.7%, 86.2%, 83% and 70%, 89.7%, 83% with/without clinical information in observer B, respectively. There were no significant differences in sensitivity, specificity and accuracy between two observers or in same observer with/without clinical information. The agreement for the characterization of breast mass between the two observers was significantly excellent (κ=0.876/ κ=0.897 with/without clinical information, respectively). Intraobserver variance according to the knowledge of clinical information was also small ( κ=0.795 in observer A; κ=0.900 in observer B). Pgp53 was positive in 8 lesions. The sensitivities of

Influence of the Atmospheric Model on Hanle Diagnostics

Science.gov (United States)

Ishikawa, Ryohko; Uitenbroek, Han; Goto, Motoshi; Iida, Yusuke; Tsuneta, Saku

2018-05-01

We clarify the uncertainty in the inferred magnetic field vector via the Hanle diagnostics of the hydrogen Lyman-α line when the stratification of the underlying atmosphere is unknown. We calculate the anisotropy of the radiation field with plane-parallel semi-empirical models under the nonlocal thermal equilibrium condition and derive linear polarization signals for all possible parameters of magnetic field vectors based on an analytical solution of the atomic polarization and Hanle effect. We find that the semi-empirical models of the inter-network region (FAL-A) and network region (FAL-F) show similar degrees of anisotropy in the radiation field, and this similarity results in an acceptable inversion error ( e.g., {˜} 40 G instead of 50 G in field strength and {˜} 100° instead of 90° in inclination) when FAL-A and FAL-F are swapped. However, the semi-empirical models of FAL-C (averaged quiet-Sun model including both inter-network and network regions) and FAL-P (plage regions) yield an atomic polarization that deviates from all other models, which makes it difficult to precisely determine the magnetic field vector if the correct atmospheric model is not known ( e.g., the inversion error is much larger than 40% of the field strength; {>} 70 G instead of 50 G). These results clearly demonstrate that the choice of model atmosphere is important for Hanle diagnostics. As is well known, one way to constrain the average atmospheric stratification is to measure the center-to-limb variation of the linear polarization signals. The dependence of the center-to-limb variations on the atmospheric model is also presented in this paper.

Then and Now: Examining Memories of Pediatric Experiences and Their Influence on Opinions about Healthcare as an Adult

Directory of Open Access Journals (Sweden)

Sherwood Burns-Nader

2017-03-01

Full Text Available Children use their memories of healthcare experiences to navigate subsequent visits. The purpose of this exploratory study was to examine young adults’ (N =343 memories of childhood medical experiences, how support from parents and the medical team influenced these memories, and how memories of pediatric experiences influence opinions about healthcare as an adult. The participants remembered having mild anxiety about childhood medical visits, feeling parents and the medical team were helpful with coping, and thinking the medical staff were supportive/friendly. Participants remembered having a relationship with their healthcare providers and the healthcare providers communicating with them as a child. The adults reported their current opinion and healthcare use was influenced by childhood healthcare experiences. These findings highlight the importance of parents and the medical team during pediatric healthcare visits. Also, visits during childhood were found to influence use of healthcare as an adult, highlighting the need for positive pediatric experiences, both at the doctor and dentist.

Influence of computer tomography on radiological diagnostics of malignant tumors

Energy Technology Data Exchange (ETDEWEB)

Gerhardt, P.; Glueck, E.; Siems, H.

1981-01-01

A survey is presented of the present status of cancer diagnostics in the following organs and organ systems: neurocranium, visceral cranium and base of skull, larynx and thyroid, thorax, pancreas, retroperitoneum, kidneys and adrenal glands, pelvis, and skeletal system. The rank of computer tomography is compared with those of other examination techniques.

Target diagnostic system for the National Ignition Facility (NIF)

International Nuclear Information System (INIS)

Leeper, R.J.; Chandler, G.A.; Cooper, G.W.; Derzon, M.S.

1996-01-01

A review of recent progress on the design of a diagnostic system proposed for ignition target experiments on the National Ignition Facility (NIF) will be presented. This diagnostic package contains an extensive suite of optical, x-ray, gamma-ray, and neutron diagnostics that enable measurements of the performance of both direct and indirect driven NIF targets. The philosophy used in designing all of the diagnostics in the set has emphasized redundant and independent measurement of fundamental physical quantities relevant to the operation of the NIF target. A unique feature of these diagnostics is that they are being designed to be capable of operating, in the high radiation, EMP, and debris backgrounds expected on the NIF facility. The diagnostic system proposed can be categorized into three broad areas: laser characterization, hohlraum characterization, and capsule performance diagnostics. The operating principles of a representative instrument from each class of diagnostic employed in this package will be summarized and illustrated with data obtained in recent prototype diagnostic tests

Challenges for Plasma Diagnostic in a Next Step Device (FIRE)

International Nuclear Information System (INIS)

Young, Kenneth M.

2002-01-01

The physics program of any next-step tokamak such as FIRE [Fusion Ignition Research Experiment] sets demands for plasma measurement which are at least as comprehensive as on present tokamaks, with the additional capabilities needed for control of the plasma and for understanding the effects of the alpha-particles. The diagnostic instrumentation must be able to provide the fine spatial and temporal resolution required for the advanced tokamak plasma scenarios. It must also be able to overcome the effects of neutron- and gamma-induced electrical noise in ceramic components or detectors, and fluorescence and absorption in optical components. There are practical engineering issues of minimizing radiation streaming while providing essential diagnostic access to the plasma. Many diagnostics will require components at or close to the first wall, e.g., ceramics and MI cable for magnetic diagnostics and mirrors for optical diagnostics; these components must be mounted to operate, and survive, i n fluxes which require special material selection. A better set of diagnostics of alpha-particles than that available for the TFTR [Tokamak Fusion Test Reactor] is essential; it must be qualified well before moving into D-T [deuterim-tritium] experiments. A start has been made to assessing the potential implementation of key diagnostics for the FIRE device. The present status is described

The Influence of Color on the Consumer’s Experience of Beer

Directory of Open Access Journals (Sweden)

Felipe Reinoso Carvalho

2017-12-01

Full Text Available Visual appearance (e.g., color cues set expectations regarding the likely taste and flavor properties of food and drink. These expectations may, in turn, anchor the subsequent tasting experience. In the present study, we examined the influence of the color of a beer on the consumer’s experience. Dark and pale beers were evaluated both before and after tasting. Importantly, these beers were indistinguishable in terms of their taste/flavor when tasted without any visual cues. The results indicate that the differing visual appearance of the beers led to clear differences in expected taste/flavor. However, after tasting, no differences in flavor ratings were observed, indicating that the expectations based on visual cues did not influence the actual tasting experience. The participants also expected the dark beer to be more expensive than the pale one. These outcomes suggest that changes in the visual appearance of a beer lead to significant changes in the way in which consumers expect the beer to taste. At the same time, however, our findings also suggest the need for more evidence to be collected in order to determine the boundary conditions on when such crossmodal expectations may vs. may not affect the tasting experience.Highlights: The expected flavor of a beer is affected by its visual appearance. No differences in flavor ratings were observed on tasting. Consumers expect dark beers to be more expensive than pale/amber beers.

The influence of children's pain memories on subsequent pain experience.

Science.gov (United States)

Noel, Melanie; Chambers, Christine T; McGrath, Patrick J; Klein, Raymond M; Stewart, Sherry H

2012-08-01

Healthy children are often required to repeatedly undergo painful medical procedures (eg, immunizations). Although memory is often implicated in children's reactions to future pain, there is a dearth of research directly examining the relationship between the 2. The current study investigated the influence of children's memories for a novel pain stimulus on their subsequent pain experience. One hundred ten healthy children (60 boys) between the ages of 8 and 12 years completed a laboratory pain task and provided pain ratings. Two weeks later, children provided pain ratings based on their memories as well as their expectancies about future pain. One month following the initial laboratory visit, children again completed the pain task and provided pain ratings. Results showed that children's memory of pain intensity was a better predictor of subsequent pain reporting than their actual initial reporting of pain intensity, and mediated the relationship between initial and subsequent pain reporting. Children who had negatively estimated pain memories developed expectations of greater pain prior to a subsequent pain experience and showed greater increases in pain ratings over time than children who had accurate or positively estimated pain memories. These findings highlight the influence of pain memories on healthy children's expectations of future pain and subsequent pain experiences and extend predictive models of subsequent pain reporting. Copyright © 2012 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

Non-Destructive Testing for Building Diagnostics and Monitoring: Experience Achieved with Case Studies

Directory of Open Access Journals (Sweden)

Tavukçuoğlu Ayşe

2018-01-01

Full Text Available Building inspection on site, in other words in-situ examinations of buildings is a troublesome work that necessitates the use of non-destructive investigation (NDT techniques. One of the main concerns of non-destructive testing studies is to improve in-situ use of NDT techniques for diagnostic and monitoring studies. The quantitative infrared thermography (QIRT and ultrasonic pulse velocity (UPV measurements have distinct importance in that regard. The joint use of QIRT and ultrasonic testing allows in-situ evaluation and monitoring of historical structures and contemporary ones in relation to moisture, thermal, materials and structural failures while the buildings themselves remain intact. For instances, those methods are useful for detection of visible and invisible cracks, thermal bridges and damp zones in building materials, components and functional systems as well as for soundness assessment of materials and thermal performance assessment of building components. In addition, those methods are promising for moisture content analyses in materials and monitoring the success of conservation treatments or interventions in structures. The in-situ NDT studies for diagnostic purposes should start with the mapping of decay forms and scanning of building surfaces with infrared images. Quantitative analyses are shaped for data acquisition on site and at laboratory from representative sound and problem areas in structures or laboratory samples. Laboratory analyses are needed to support in-situ examinations and to establish the reference data for better interpretation of in situ data. Advances in laboratory tests using IRT and ultrasonic testing are guiding for in-situ materials investigations based on measurable parameters. The knowledge and experience on QIRT and ultrasonic testing are promising for the innovative studies on today’s materials technologies, building science and conservation/maintenance practices. Such studies demand a multi

Transthoracic CT-guided biopsy with multiplanar reconstruction image improves diagnostic accuracy of solitary pulmonary nodules

International Nuclear Information System (INIS)

Ohno, Yoshiharu; Hatabu, Hiroto; Takenaka, Daisuke; Imai, Masatake; Ohbayashi, Chiho; Sugimura, Kazuro

2004-01-01

Objective: To evaluate the utility of multiplanar reconstruction (MPR) image for CT-guided biopsy and determine factors of influencing diagnostic accuracy and the pneumothorax rate. Materials and methods: 390 patients with 396 pulmonary nodules underwent transthoracic CT-guided aspiration biopsy (TNAB) and transthoracic CT-guided cutting needle core biopsy (TCNB) as follows: 250 solitary pulmonary nodules (SPNs) underwent conventional CT-guided biopsy (conventional method), 81 underwent CT-fluoroscopic biopsy (CT-fluoroscopic method) and 65 underwent conventional CT-guided biopsy in combination with MPR image (MPR method). Success rate, overall diagnostic accuracy, pneumothorax rate and total procedure time were compared in each method. Factors affecting diagnostic accuracy and pneumothorax rate of CT-guided biopsy were statistically evaluated. Results: Success rates (TNAB: 100.0%, TCNB: 100.0%) and overall diagnostic accuracies (TNAB: 96.9%, TCNB: 97.0%) of MPR were significantly higher than those using the conventional method (TNAB: 87.6 and 82.4%, TCNB: 86.3 and 81.3%) (P<0.05). Diagnostic accuracy were influenced by biopsy method, lesion size, and needle path length (P<0.05). Pneumothorax rate was influenced by pathological diagnostic method, lesion size, number of punctures and FEV1.0% (P<0.05). Conclusion: The use of MPR for CT-guided lung biopsy is useful for improving diagnostic accuracy with no significant increase in pneumothorax rate or total procedure time

Influence of an Intermediate Option on the Description-Experience Gap and Information Search

OpenAIRE

Neha Sharma; Shoubhik Debnath; Varun Dutt

2018-01-01

Research shows that people tend to overweight small probabilities in description and underweight them in experience, thereby leading to a different pattern of choices between description and experience; a phenomenon known as the Description-Experience (DE) gap. However, little is known on how the addition of an intermediate option and contextual framing influences the DE gap and people’s search strategies. This paper tests the effects of an intermediate option and contextual framing on the DE...

Multi-method automated diagnostics of rotating machines

Science.gov (United States)

Kostyukov, A. V.; Boychenko, S. N.; Shchelkanov, A. V.; Burda, E. A.

2017-08-01

The automated machinery diagnostics and monitoring systems utilized within the petrochemical plants are an integral part of the measures taken to ensure safety and, as a consequence, the efficiency of these industrial facilities. Such systems are often limited in their functionality due to the specifics of the diagnostic techniques adopted. As the diagnostic techniques applied in each system are limited, and machinery defects can have different physical nature, it becomes necessary to combine several diagnostics and monitoring systems to control various machinery components. Such an approach is inconvenient, since it requires additional measures to bring the diagnostic results in a single view of the technical condition of production assets. In this case, we mean by a production facility a bonded complex of a process unit, a drive, a power source and lines. A failure of any of these components will cause an outage of the production asset, which is unacceptable. The purpose of the study is to test a combined use of vibration diagnostics and partial discharge techniques within the diagnostic systems of enterprises for automated control of the technical condition of rotating machinery during maintenance and at production facilities. The described solutions allow you to control the condition of mechanical and electrical components of rotating machines. It is shown that the functionality of the diagnostics systems can be expanded with minimal changes in technological chains of repair and operation of rotating machinery. Automation of such systems reduces the influence of the human factor on the quality of repair and diagnostics of the machinery.

Diagnostic reasoning strategies and diagnostic success.

Science.gov (United States)

Coderre, S; Mandin, H; Harasym, P H; Fick, G H

2003-08-01

Cognitive psychology research supports the notion that experts use mental frameworks or "schemes", both to organize knowledge in memory and to solve clinical problems. The central purpose of this study was to determine the relationship between problem-solving strategies and the likelihood of diagnostic success. Think-aloud protocols were collected to determine the diagnostic reasoning used by experts and non-experts when attempting to diagnose clinical presentations in gastroenterology. Using logistic regression analysis, the study found that there is a relationship between diagnostic reasoning strategy and the likelihood of diagnostic success. Compared to hypothetico-deductive reasoning, the odds of diagnostic success were significantly greater when subjects used the diagnostic strategies of pattern recognition and scheme-inductive reasoning. Two other factors emerged as independent determinants of diagnostic success: expertise and clinical presentation. Not surprisingly, experts outperformed novices, while the content area of the clinical cases in each of the four clinical presentations demonstrated varying degrees of difficulty and thus diagnostic success. These findings have significant implications for medical educators. It supports the introduction of "schemes" as a means of enhancing memory organization and improving diagnostic success.

Influences of multisensory experience on subsequent unisensory processing

Directory of Open Access Journals (Sweden)

Ladan eShams

2011-10-01

Full Text Available Multisensory perception has been the focus of intense research in recent years. It is now well established that crossmodal interactions are ubiquitous in perceptual processing and endow the system with improved precision, accuracy, processing speed, etc. While these findings have shed much light on principles and mechanisms of perception, ultimately it is not very surprising that multiple sources of information provide benefits in performance compared to a single source of information.Here, we argue that the more surprising recent findings are those showing that multisensory experience also influences the subsequent unisensory processing. For example, exposure to auditory-visual stimuli, can change the way auditory or visual stimuli are processed subsequently even in isolation. We review three sets of findings that represent three different types of learning ranging from perceptual learning, to sensory recalibration, to associative learning. In all these cases exposure to multisensory stimuli profoundly influences the subsequent unisensory processing. This diversity of phenomena may suggest that continuous modification of unisensory representations by multisensory relationships may be a general learning strategy used by the brain.

The Vocal Extent Measure: Development of a Novel Parameter in Voice Diagnostics and Initial Clinical Experience

Directory of Open Access Journals (Sweden)

Philipp P. Caffier

2018-01-01

Full Text Available Voice range profile (VRP and evaluation using the dysphonia severity index (DSI represent essentials of instrument-based objective voice diagnostics and are implemented in different standardized registration programs. The respective measurement results, however, show differences. The aim of the study was to prove these differences statistically and to develop a new parameter, the Vocal Extent Measure (VEM, which is not influenced by the measurement program. VRPs of 97 subjects were recorded by two examiners using the established registration programs DiVAS (XION medical and LingWAVES (WEVOSYS simultaneously. The VEM was developed on the basis of VRP area and perimeter. All 194 VRP files were analyzed for various parameters and gender independence. The registration programs exhibited significant differences in several vocal parameters. A significant gender influence for DSI was found with DiVAS (p<0.01, but not with LingWAVES. The VEM quantified the dynamic performance and frequency range by a unidimensional, interval-scaled value without unit, mostly between 0 and 120. This novel parameter represents an intelligible and user-friendly positive measure of vocal function, allows simple and stable VRP description, and seems to be suitable for quantification of vocal capacity. In contrast to DSI, the VEM proved to be less susceptible to registration program and gender.

Oviposition preference hierarchy in Ceratitis capitata (Diptera, Tephritidae: influence of female age and experience

Directory of Open Access Journals (Sweden)

Joachim-Bravo Iara S.

2001-01-01

Full Text Available The influence of two factors, age and previous experience, on the oviposition hierarchy preference of Ceratitis capitata (Wiedemann, 1824 females was studied. Two populations were analyzed: one reared in laboratory during 17 years and the other captured in nature. In the first experiment the oviposition preference for four fruits, papaya, orange, banana and apple was tested at the beginning of oviposition period and 20 days past. The results showed that the wild females as much the laboratory ones had an oviposition preference hierarchy at the beginning of peak period of oviposition. However this hierarchic preference disappeared in a later phase of life. In the second experiment the females were previously exposed to fruits of different hierarchic positions and afterwards their choice was tested in respect to the oviposition preference for those fruits. The results showed that there was an influence of the previous experience on the posterior choice of fruits to oviposition when the females were exposed to fruits of lower hierarchic position.

XML Diagnostics Description Standard

International Nuclear Information System (INIS)

Neto, A.; Fernandes, H.; Varandas, C.; Lister, J.; Yonekawa, I.

2006-01-01

A standard for the self-description of fusion plasma diagnostics will be presented, based on the Extensible Markup Language (XML). The motivation is to maintain and organise the information on all the components of a laboratory experiment, from the hardware to the access security, to save time and money when problems arises. Since there is no existing standard to organise this kind of information, every Association stores and organises each experiment in different ways. This can lead to severe problems when the organisation schema is poorly documented or written in national languages. The exchange of scientists, researchers and engineers between laboratories is a common practice nowadays. Sometimes they have to install new diagnostics or to update existing ones and frequently they lose a great deal of time trying to understand the currently installed system. The most common problems are: no documentation available; the person who understands it has left; documentation written in the national language. Standardisation is the key to solving all the problems mentioned. From the commercial information on the diagnostic (component supplier; component price) to the hardware description (component specifications; drawings) to the operation of the equipment (finite state machines) through change control (who changed what and when) and internationalisation (information at least in the native language and in English), a common XML schema will be proposed. This paper will also discuss an extension of these ideas to the self-description of ITER plant systems, since the problems will be identical. (author)

CIT diagnostic computer interface studies

International Nuclear Information System (INIS)

Rauch, W.; Hayes, S.; Lowrance, J.; Oliaro, G.; Sauthoff, N.; Sichta, P.; Stark, W.

1987-01-01

This paper presents the on-going work performed in proposing instrumentation equipment and communications networks for the Diagnostic Data Acquisition and Diagnostic Instrumentation and Control System for the Compact Ignition Torus (CIT), which will begin operation in 1993. Consideration is given to the system criteria and requirements and their influence on the appropriate application of instrumentation and communication technologies to the system. This paper concentrates on the investigation of the bus communication technologies as they apply to the CIT data acquisition system. It compares CAMAC, VME, and FASTBUS as standards for data acquisition. The paper describes the connectivity between VAX equipment and CAMAC and VME instrumentation systems. Instrumentation and communication functionality and performance levels are presented as factors important to the overall data acquisition system performance

Use of the target diagnostic control system in the National Ignition Facility

Energy Technology Data Exchange (ETDEWEB)

Shelton, R; Lagin, L; Nelson, J

2011-07-25

The extreme physics of targets shocked by NIF's 192-beam laser are observed by a diverse suite of diagnostics including optical backscatter, time-integrated, time resolved and gated X-ray sensors, laser velocity interferometry, and neutron time of flight. Diagnostics to diagnose fusion ignition implosion and neutron emissions have been developed. A Diagnostic Control System (DCS) for both hardware and software facilitates development and eases integration. Each complex diagnostic typically uses an ensemble of electronic instruments attached to sensors, digitizers, cameras, and other devices. In the DCS architecture each instrument is interfaced to a low-cost Window XP processor and Java application. Instruments are aggregated as needed in the supervisory system to form an integrated diagnostic. The Java framework provides data management, control services and operator GUI generation. During the past several years, over thirty-six diagnostics have been deployed using this architecture in support of the National Ignition Campaign (NIC). The DCS architecture facilitates the expected additions and upgrades to diagnostics as more experiments are performed. This paper presents the DCS architecture, framework and our experiences in using it during the NIC to operate, upgrade and maintain a large set of diagnostic instruments.

Use of the target diagnostic control system in the National Ignition Facility

International Nuclear Information System (INIS)

Shelton, R.; Lagin, L.; Nelson, J.

2011-01-01

The extreme physics of targets shocked by NIF's 192-beam laser are observed by a diverse suite of diagnostics including optical backscatter, time-integrated, time resolved and gated X-ray sensors, laser velocity interferometry, and neutron time of flight. Diagnostics to diagnose fusion ignition implosion and neutron emissions have been developed. A Diagnostic Control System (DCS) for both hardware and software facilitates development and eases integration. Each complex diagnostic typically uses an ensemble of electronic instruments attached to sensors, digitizers, cameras, and other devices. In the DCS architecture each instrument is interfaced to a low-cost Window XP processor and Java application. Instruments are aggregated as needed in the supervisory system to form an integrated diagnostic. The Java framework provides data management, control services and operator GUI generation. During the past several years, over thirty-six diagnostics have been deployed using this architecture in support of the National Ignition Campaign (NIC). The DCS architecture facilitates the expected additions and upgrades to diagnostics as more experiments are performed. This paper presents the DCS architecture, framework and our experiences in using it during the NIC to operate, upgrade and maintain a large set of diagnostic instruments.

The Patient’s Experience of the Psychosocial Process That Influences Identity following Stroke Rehabilitation: A Metaethnography

Directory of Open Access Journals (Sweden)

E. Hole

2014-01-01

Full Text Available Background and Purpose. Patient experience is increasingly being recognised as a key health outcome due to its positive correlation with quality of life and treatment compliance. The aim of this study was to create a model of how patient’s experiences of rehabilitation after stroke influence their outcome. Methods. A metaethnography of qualitative articles published since 2000 was undertaken. A systematic search of four databases using the keywords was competed. Original studies were included if at least 50% of their data from results was focused on stroke survivors experiences and if they reflected an overarching experience of stroke rehabilitation. Relevant papers were appraised for quality using the COREQ tool. Pata analysis as undertaken using traditional processes of extracting, interpreting, translating, and synthesizing the included studies. Results. Thirteen studies were included. Two themes (1 evolution of identity and (2 psychosocial constructs that influence experience were identified. A model of recovery was generated. Conclusion. The synthesis model conceptualizes how the recovery of stroke survivors’ sense of identity changes during rehabilitation illustrating changes and evolution over time. Positive experiences are shaped by key psychosocial concepts such as hope, social support, and rely on good self-efficacy which is influenced by both clinical staff and external support.

The influence of musical experience on lateralisation of auditory processing.

Science.gov (United States)

Spajdel, Marián; Jariabková, Katarína; Riecanský, Igor

2007-11-01

The influence of musical experience on free-recall dichotic listening to environmental sounds, two-tone sequences, and consonant-vowel (CV) syllables was investigated. A total of 60 healthy right-handed participants were divided into two groups according to their active musical competence ("musicians" and "non-musicians"). In both groups, we found a left ear advantage (LEA) for nonverbal stimuli (environmental sounds and two-tone sequences) and a right ear advantage (REA) for CV syllables. Dichotic listening to environmental sounds was uninfluenced by musical experience. The total accuracy of recall for two-tone sequences was higher in musicians than in non-musicians but the lateralisation was similar in both groups. For CV syllables a lower REA was found in male but not female musicians in comparison to non-musicians. The results indicate a specific sex-dependent effect of musical experience on lateralisation of phonological auditory processing.

ORNL diagnostic and modeling development for LAPD ICRF experiments

Science.gov (United States)

Isler, R. C.; Caughman, J. B. O.; Lau, C.; Martin, E. H.; Perkins, R. J.; Compernolle, B. Van; Vincena, S.; Tripathi, S. K. P.; Gekelman, W.

2017-10-01

PPPL, UCLA, and ORNL scientists have recently collaborated on a three week ICRF campaign at the upgraded LAPD device to study near field-plasma interactions associated with a single strap antenna driven at 2.38 MHz with 100 kW of RF power. This poster highlights ORNL involvement through implementation of the following diagnostics: an optical emission probe to measure neutral density, a retarding field energy analyzer to measure fast ions, phase locked imaging to measure line integrated RF-driven optical emission fluctuations, and an RF compensated triple Langmuir probe to measure density and temperature. To interpret the results of the experimental campaign a 3D cold plasma finite element model with realistic antenna and vacuum vessel geometry was developed in COMSOL. A summary of these results will be discussed. Highlights include a proof of principle localized and spatially resolved measurement of the neutral density, a strong increase in RF-driven optical emission fluctuations directly in front of the RF antenna strap, a shift in fast ion energies near the plasma edge, and qualitative agreement between the COMSOL cold plasma model with the various diagnostics. Funded by the DOE OFES (DE-AC05-00OR22725, DE-AC02-09CH11466, and DE-FC02-07ER54918) and the Univ. of California (12-LR-237124).

A review of the findings of the plasma diagnostic package and associated laboratory experiments: Implications of large body/plasma interactions for future space technology

Science.gov (United States)

Murphy, Gerald B.; Lonngren, Karl E.

1986-01-01

The discoveries and experiments of the Plasma Diagnostic Package (PDP) on the OSS 1 and Spacelab 2 missions are reviewed, these results are compared with those of other space and laboratory experiments, and the implications for the understanding of large body interactions in a low Earth orbit (LEO) plasma environment are discussed. First a brief review of the PDP investigation, its instrumentation and experiments is presented. Next a summary of PDP results along with a comparison of those results with similar space or laboratory experiments is given. Last of all the implications of these results in terms of understanding fundamental physical processes that take place with large bodies in LEO is discussed and experiments to deal with these vital questions are suggested.

Acute abdomen. Diagnostic radiology according to principal signs

International Nuclear Information System (INIS)

Krestin, G.P.

1994-01-01

The acute abdomen is a frequent and very often dangerous syndrome which requires sophisticated diagnostic evaluation. A decisive factor determining the following case history is efficient and exact diagnosis, calling for experienced clinical and diagnostic experts for efficient application of available methods, and correct interpretation of findings. The book offers: 1. Practice-oriented diagnostic strategies, based on 13 principal signs and constellations derived from clinical experience, presented in each chapter as a combination of - suitable differential diagnostic procedures and methods,- exhaustive description of the clinical signs and diagnostic findings specific of the various symptoms,- algorithmic presentations. 2. A special chapter on the pediatric acute abdomen. 3. The most important findings shown in more than 250 original pictures. 4. A graphical design and presentation of the information which permits quick access to the important content. (orig./CB) [de

Dental and dental hygiene students' diagnostic accuracy in oral radiology: effect of diagnostic strategy and instructional method.

Science.gov (United States)

Baghdady, Mariam T; Carnahan, Heather; Lam, Ernest W N; Woods, Nicole N

2014-09-01

There has been much debate surrounding diagnostic strategies and the most appropriate training models for novices in oral radiology. It has been argued that an analytic approach, using a step-by-step analysis of the radiographic features of an abnormality, is ideal. Alternative research suggests that novices can successfully employ non-analytic reasoning. Many of these studies do not take instructional methodology into account. This study evaluated the effectiveness of non-analytic and analytic strategies in radiographic interpretation and explored the relationship between instructional methodology and diagnostic strategy. Second-year dental and dental hygiene students were taught four radiographic abnormalities using basic science instructions or a step-by-step algorithm. The students were tested on diagnostic accuracy and memory immediately after learning and one week later. A total of seventy-three students completed both immediate and delayed sessions and were included in the analysis. Students were randomly divided into two instructional conditions: one group provided a diagnostic hypothesis for the image and then identified specific features to support it, while the other group first identified features and then provided a diagnosis. Participants in the diagnosis-first condition (non-analytic reasoning) had higher diagnostic accuracy then those in the features-first condition (analytic reasoning), regardless of their learning condition. No main effect of learning condition or interaction with diagnostic strategy was observed. Educators should be mindful of the potential influence of analytic and non-analytic approaches on the effectiveness of the instructional method.

The influence of adjunctive treatment and metacognitive deficits in schizophrenia on the experience of work

NARCIS (Netherlands)

de Jong, Steven; Renard, S. B.; van Donkersgoed, R. J. M.; van der Gaag, M.; Wunderink, Alexander; Pijnenborg, G. H. M.; Lysaker, P. H.

Enhancing work function is now widely considered a core element of comprehensive schizophrenia treatment. While research efforts have illuminated factors that influence how well patients perform at work, less is known about the factors influencing the subjective experience of work. It is not known

The influence of adjunctive treatment and metacognitive deficits in schizophrenia on the experience of work

NARCIS (Netherlands)

de Jong, S.; Renard, S.B.; van Donkersgoed, R.J.M.; van der Gaag, M.; Wunderink, L.; Pijnenborg, G.H.M.; Lysaker, P.H.

2014-01-01

Enhancing work function is now widely considered a core element of comprehensive schizophrenia treatment. While research efforts have illuminated factors that influence how well patients perform at work, less is known about the factors influencing the subjective experience of work. It is not known

Looking at anything that is green when hearing ‘frog’: How object surface colour and stored object colour knowledge influence language-mediated overt attention

OpenAIRE

Huettig, F.; Altmann, G.

2011-01-01

Three eye-tracking experiments investigated the influence of stored colour knowledge, perceived surface colour, and conceptual category of visual objects on language-mediated overt attention. Participants heard spoken target words whose concepts are associated with a diagnostic colour (e.g., "spinach"; spinach is typically green) while their eye movements were monitored to (a) objects associated with a diagnostic colour but presented in black and white (e.g., a black-and-white line drawing of...

Beam diagnostic instruments of TARN

International Nuclear Information System (INIS)

Watanabe, Shin-ichi.

1987-09-01

The paper summarizes the beam diagnostic instruments of the low energy ion accumulation ring; TARN. With these monitors, position, profiles, bunch structure, intensity, emittance and momentum spread were measured to evaluate the injection and stacking experiments. The monitors provide the sensitivity of a few μA for the nondestructive and a few nA for the destructive monitors. Discussions on monitor probe and electronics are presented on the basis of an achievement of the beam stacking experiments. (author)

Flexible fiberoptic bronchoscopy in respiratory care: Diagnostic yield ...

African Journals Online (AJOL)

Introduction: Flexible fiberoptic bronchoscopy (FOB) is a key diagnostic and therapeutic procedure in pulmonology. Experience with fiberoptic bronchoscopy is scanty in most developing countries. Objectives: The goal of this study was to report our experience and clinical utility of fiberoptic bronchoscopy. Methods: A review ...

Nova target experiments

International Nuclear Information System (INIS)

Drake, R.P.

1985-11-01

The Nova laser, at the Lawrence Livermore National Laboratory, provides unique opportunities for target experiments. It has unprecedented energy on target and significant flexibility. The paper presented by John Hunt described the capabilities and the status of Nova. This paper discusses plans for future experiments using Nova, and the present status of target experiments. We plan to perform high-quality physics experiments that exploit the unique capabilities of Nova. Because this is our goal, we are fielding an extensive array of well-characterized target diagnostics to measure the emissions from the target. The first section of this paper discusses the basic target diagnostics. We are also taking care to quantify the performance of the laser

Decreased Diagnostic Accuracy of Multislice Coronary Computed Tomographic Angiography in Women with Atypical Angina Symptoms

Directory of Open Access Journals (Sweden)

Wen-Ying Jin

2016-01-01

Conclusions: Although MSCT is a reliable diagnostic modality for the exclusion of significant coronary artery stenoses in all patients, gender and atypical symptoms might have some influence on its diagnostic accuracy.

Digital image acquisition in the X-ray diagnostics. Its influence on the patients' exposure

International Nuclear Information System (INIS)

Hoberg, Bernd; Voigt, Stefan

2012-01-01

Radiation exposure in the classical X-ray diagnostics was continuously reduced during the past years. The annual report 2009 of the Bundesamt fuer Strahlenschutz (BfS) shows that 46% of the radiological examinations in Germany concern the skeleton, the lungs and the digestive and urogenital tract. The respective radiation dose is only 20% of the total dose of the public from X-ray diagnostic measures. Considering computerized tomography, angiography and interventional radiology, that amount to about 10% of the radiological examinations, their dose percentage reaches about 80%. Therefore, the emphasis of modern radiation protection has to be targeted to digital techniques in the future X-ray diagnostics. The authors describe digital detectors, direct and indirect digitalized image receivers, flat-panel detectors and dynamic detectors.

Bereaved donor families' experiences of organ and tissue donation, and perceived influences on their decision making.

Science.gov (United States)

Sque, Magi; Walker, Wendy; Long-Sutehall, Tracy; Morgan, Myfanwy; Randhawa, Gurch; Rodney, Amanda

2018-06-01

To elicit bereaved families' experiences of organ and tissue donation. A specific objective was to determine families' perceptions of how their experiences influenced donation decision-making. Retrospective, qualitative interviews were undertaken with 43 participants of 31 donor families to generate rich, informative data. Participant recruitment was via 10 National Health Service Trusts, representative of five regional organ donation services in the UK. Twelve families agreed to DBD, 18 agreed to DCD, 1 unknown. Participants' responses were contextualised using a temporal framework of 'The Past', which represented families' prior knowledge, experience, attitudes, beliefs, and intentions toward organ donation; 'The Present', which incorporated the moment in time when families experienced the potential for donation; and 'The Future', which corresponded to expectations and outcomes arising from the donation decision. Temporally interwoven experiences appeared to influence families' decisions to donate the organs of their deceased relative for transplantation. The influence of temporality on donation-decision making is worthy of consideration in the planning of future education, policy, practice, and research for improved rates of family consent to donation. Copyright © 2018 Elsevier Inc. All rights reserved.

Fusion plasma diagnostics with mm-waves an introduction

CERN Document Server

Hartfuss, Hans-Jürgen

2013-01-01

Filling a gap in the literature, this introduction to the topic covers the physics of the standard microwave diagnostics established on modern fusion experiments, and the necessary technological background from the field of microwave engineering. Written by well-known mm-wave diagnosticians in the field of fusion physics, the textbook includes such major diagnostic techniques as electron cyclotron emission, interferometry, reflectometry, polarimetry, and scattering.

A new diagnostic concept for the primary circuit of WWER 1000 reactors

International Nuclear Information System (INIS)

Streicher, V.; Liska, J.

1993-01-01

The new concept developed by the Skoda and Siemens companies is based on their own experience, the requirements of the Czech Power Board/NPP Temelin Diagnostic Department, and on the research work of various institutes in Czechoslovakia. The development of a complex diagnostic concept is an iterative process and includes parts with different stages of experience and different goals. They can be divided into five groups: PC-based diagnostic systems with continuous or periodic functions, equipment for condition monitoring, PC-based data collectors, studies, analyses and measures which are mandatory for the correct performance and interpretation of the diagnostic systems, and the integration of all subsystems and data acquisition/evaluation units into a Local Area Network with a graphic workstation. (Z.S.) 2 figs., 4 refs

Patients' experiences and care needs during the diagnostic phase of an Integrated Brain Cancer Pathway

DEFF Research Database (Denmark)

Vedelø, Tina Wang; Sørensen, Jens Christian Hedemann; Delmar, Charlotte

2018-01-01

of brain cancer, not knowing what to expect and participants' perceptions of the relationship with the health care providers. The analysis revealed that participants were in risk of having unmet information needs and that contextual factors seemed to cause fragmented care that led to feelings...... that the shock of the diagnosis, combined with the multiple symptoms, affect patients' ability to understand information and express needs of care and support. Unmet needs have been reported within this group of patients, however, the experiences and care needs of patients going through the diagnostic phase...... of a standardised Integrated Brain Cancer Pathway have not previously been explored. DESIGN: A Case Study design was used to provide detailed information of the complex needs of patients being diagnosed with a malignant brain tumour. METHODS: Research interviews and direct participant observation of four patients...

Plasma impact on diagnostic mirrors in JET

OpenAIRE

A. Garcia-Carrasco; P. Petersson; M. Rubel; A. Widdowson; E. Fortuna-Zalesna; S. Jachmich; M. Brix; L. Marot

2017-01-01

Metallic mirrors will be essential components of all optical systems for plasma diagnosis in ITER. This contribution provides a comprehensive account on plasma impact on diagnostic mirrors in JET with the ITER-Like Wall. Specimens from the First Mirror Test and the lithium-beam diagnostic have been studied by spectrophotometry, ion beam analysis and electron microscopy. Test mirrors made of molybdenum were retrieved from the main chamber and the divertor after exposure to the 2013–2014 experi...

The Influence of Early Life Experience on Visceral Pain

Directory of Open Access Journals (Sweden)

Isabella M. Fuentes

2018-01-01

Full Text Available Pain is the most reported and troublesome symptom of nearly all functional disorders affecting the genitourinary and gastrointestinal organs. Patients with irritable bowel syndrome (IBS, interstitial cystitis/painful bladder syndrome (IC/PBS, vulvodynia, and/or chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS; collectively termed chronic pelvic pain syndromes report pain severe enough to impact quality of life and often suffer from symptoms of or are diagnosed with more than one of these syndromes. This increased comorbidity between chronic pelvic pain syndromes, and with pain disorders of disparate body regions, as well as with mood disorders, can be influenced by disruptions in the hypothalamic-pituitary-adrenal (HPA axis, which regulates the response to stress and influences the perception of pain. Experiencing trauma, neglect, or abuse in early life can permanently affect the functioning of the HPA axis. As such, a significant proportion of patients suffering from comorbid chronic pelvic pain syndromes report a history of early life stress or trauma. Here we will report on how these early life experiences influence chronic pelvic pain in patients. We will also discuss various rodent models that have been developed to study this phenomenon to understand the mechanisms underlying HPA axis dysfunction, as well as potential underlying mechanisms connecting these syndromes to one another.

A PC-PCL-based control system for the high-voltage pulsed-power operation of the Intense Diagnostic Neutral Beam (IDNB) Experiment

International Nuclear Information System (INIS)

Gribble, R.

1993-06-01

A stand-alone, semiautomated control system for the high-voltage pulsed-power energy sources on the Intense Diagnostic Neutral Beam Experiment at Los Alamos National Laboratory using personal computer (PC) and programmable logic controller (PLC) technology has been developed and implemented. The control system, consisting of a PC with the graphic operator interface, the network connecting the PC to the PLC, the PLC, the PLC I/O modules, fiber-optic interfaces and software, is described

Diagnostic accuracy of organ electrodermal diagnostics | Szopinski ...

African Journals Online (AJOL)

Objective. To estimate the diagnostic accuracy as well as the scope of utilisation of a new bio-electronic method of organ diagnostics. Design. Double-blind comparative study of the diagnostic results obtained by means of organ electrodermal diagnostics (OED) and clinical diagnoses, as a criterion standard. Setting.

Retrieving autobiographical memories influences judgments about others: the role of metacognitive experiences.

Science.gov (United States)

Woltin, Karl-Andrew; Corneille, Olivier; Yzerbyt, Vincent Y

2014-04-01

This research investigates whether metacognitive experiences accompanying the retrieval of autobiographical memories influence judgments about others. Based on social projection research, we tested the hypothesis that ease-of-retrieval, affecting how the self is perceived, affects first impressions. In line with this prediction, Experiment 1 showed that participants asked to recall a few personal instances of assertive behavior (easy retrieval) judged an unknown person to be more assertive than participants recalling many instances (difficult retrieval). Experiment 2, targeting creativity, provided evidence for the retrieval-ease mechanism: The effect disappeared when ease-of-retrieval was discredited as informational source in a misattribution paradigm. Finally, Experiments 3 and 4 replicated this pattern for the same personality traits and demonstrated two boundary conditions: Participants' ease of autobiographical recalls affected judgments of in- but not outgroup members (Experiment 3), and judgments of unknown others were affected after autobiographical recall but not after recalling behaviors of someone else (Experiment 4).

Theoretical studies of flash x-ray diagnostics for fuel motion experiments

International Nuclear Information System (INIS)

Halbleib, J.A. Sr.; Phillips, A.R.

1975-09-01

The results of preliminary theoretical studies concerning the possible employment of short-pulse, high-current field emission diodes as sources for the flash x-ray diagnostics of fuel-pin motion are reported. The predicted thick-target photon environments are obtained from state-of-the-art coupled electron/photon transport models. Through qualitative figures of merit these environments are used to study the importance of source current and voltage. For a selected experimental configuration a comparison is made between the absolute flash x-ray imaging signals predicted for these environments and Monte Carlo/analytic calculations of absolute fission-gamma backgrounds. These preliminary data suggest that field emission sources operating at voltages in the 1-to 5-MeV range and at currents of the order of 100-kA or greater may be adequate diagnostic sources for test-pin configurations as complex as a full LMFBR subassembly

Laboratory development and testing of spacecraft diagnostics

Science.gov (United States)

Amatucci, William; Tejero, Erik; Blackwell, Dave; Walker, Dave; Gatling, George; Enloe, Lon; Gillman, Eric

2017-10-01

The Naval Research Laboratory's Space Chamber experiment is a large-scale laboratory device dedicated to the creation of large-volume plasmas with parameters scaled to realistic space plasmas. Such devices make valuable contributions to the investigation of space plasma phenomena under controlled, reproducible conditions, allowing for the validation of theoretical models being applied to space data. However, in addition to investigations such as plasma wave and instability studies, such devices can also make valuable contributions to the development and testing of space plasma diagnostics. One example is the plasma impedance probe developed at NRL. Originally developed as a laboratory diagnostic, the sensor has now been flown on a sounding rocket, is included on a CubeSat experiment, and will be included on the DoD Space Test Program's STP-H6 experiment on the International Space Station. In this talk, we will describe how the laboratory simulation of space plasmas made this development path possible. Work sponsored by the US Naval Research Laboratory Base Program.

Concepts within the Chinese culture that influence the cancer pain experience.

Science.gov (United States)

Chen, Lih-Mih; Miaskowski, Christine; Dodd, Marylin; Pantilat, Steven

2008-01-01

The purpose of this article is to describe some of the concepts within the Chinese culture that influence the sociocultural dimension of the cancer pain experience. The major concepts that influence Chinese patients' perspectives on cancer pain and its management include Taoism/energy, Buddhism, and Confucianism. Within the beliefs of Taoism/energy, pain occurs if Qi, or blood circulation, is blocked. To relieve pain, the blockage of Qi/blood must be removed and the person needs to maintain harmony with the universe. Within the beliefs of Buddhism, pain/suffering is a power, unwanted but existent, that comes from a barrier in the last life; from the objective world; from a person's own sensation; or from other people, animals, and materials. Only by following the 8 right ways (ie, right view, right intention, right speech, right action, right livelihood, right effort, right mindfulness, and right concentration) can an individual end the path of pain/suffering. A Confucian believes that pain is an essential element of life, a "trial" or a "sacrifice." Therefore, when a person suffers with pain, he or she would rather endure the pain and not report it to a clinician until the pain becomes unbearable. Oncology nurses who care for Chinese patients need to understand the fundamental beliefs that influence the sociocultural dimension of the pain experience for these patients. This information will assist the oncology nurse in developing a more effective pain management plan.

Accuracy of abdominal lymph node scintigraphy in tumor diagnostics

International Nuclear Information System (INIS)

Kucharczyk, D.

1978-01-01

In view of the diagnostical correspondence between lymph node scintigraphy and X-ray lymphograpy, this dissertation, which is based on 110 systematic comparative evaluations, examines the diagnostical weight of the scintigraphic criteria for tumor growth, discusses diagnostical discrepancies and confirms the efficacy of lymph node scintigraphy in detecting malignomas. In discussing the diagnostical results in the light of previous experience, the shortcomings of the nuclear medical method in tumor diagnostics are shown to be attributable to the uncertainty of the individual scintigraphic criteria. Owing to the variability of the lymph node system as to topography, anatomy and retention rate and the fact that it cannot morphologically be well differentiated in the scintigram, X-ray lymphography to verify the scintigraphic result and preclude misinterpretation remains an indispensable measure. (orig.) [de

Diagnostics for FIRE: A Status Report

International Nuclear Information System (INIS)

Kenneth M. Young

2002-01-01

The mission for the proposed FIRE (Fusion Ignition Research Experiment) device is to ''attain, explore, understand and optimize fusion-dominated plasmas.'' Operation at Q * 5, for 20 sec with a fusion power output of *150 MW is the major goal. Attaining this mission sets demands for plasma measurement that are at least as comprehensive as on present tokamaks, with the additional capabilities needed for control of the plasma and for understanding the effects of the alpha-particles. Because of the planned operation in advanced tokamak scenarios, with steep transport barriers, the diagnostic instrumentation must be able to provide fine spatial and temporal resolution. It must also be able to withstand the impact of the intense neutron and gamma irradiation. There are practical engineering issues of minimizing radiation streaming while providing essential diagnostic access to the plasma. Many components will operate close to the first wall, e.g. ceramics and mineral insulated cable for magnetic diagnostics and mirrors for optical diagnostics; these components must be selected and mounted so that they will operate and survive in fluxes which require special material selection. The measurement requirements have been assessed so that the diagnostics for the FIRE device can be defined. Clearly a better set of diagnostics of alpha-particles than that available for TFTR is essential, since the alpha-particles provide the dominant sources of heating and of instability-drive in the plasma

The Influence of Combat Experience on Psychologically Healthy Soldiers' Attentiveness to Environmental Threats.

Science.gov (United States)

Ranes, Bethany; Long, Chris P; Traynham, Stephanie; Hayes, Amanda

2017-07-01

In contrast to previous research that has primarily examined how psychological disorders (e.g., post-traumatic stress disorder [PTSD], anxiety) are affected by and affect individuals' threat perceptions, this study examines the relationship between combat experience and threat-monitoring in psychologically healthy Soldiers. Existing research has established how prolonged or intense experiences with war-related stressors can lead individuals to undergo an unconscious fear-conditioning process that affects the circuitry of the prefrontal cortex, hippocampus, amygdala, and anterior cingulate cortex regions of the brain. We predict that the intensity of one's combat experience positively influences Soldiers' attention to environmental threats. Participants included U. S. Army Soldiers with a score of 50 or below on the PTSD Checklist-Military Version. Participants completed the Combat Exposure Scale and the State-Trait Anxiety Inventory. The experimental prediction task we employed assesses the expectation of an intrusively loud white noise sound that occurred on three variable patterns in a pseudorandomized order. Each tone pattern was used 20 times over a total of 60 trials. The experimental prediction task included two neutral tones (700 and 1,300 Hz) that were presented in a repeated pattern along with a 100-dB burst of white noise (0.5-second duration). In each trial, one of three possible tone combinations was presented. To assess their attentiveness to threats, participants were asked to continuously rate their expectancy of the burst of white noise using a visual analogue scale (VAS) ranging from 0 to 100. VAS ratings were collected at controlled points throughout the task. None of the participants reported scores on any of the diagnostic surveys that met standards for clinical significance. A repeated-measures analysis of variance was conducted to assess the overall effect of the three prediction conditions on participants' VAS ratings. There was a significant

Calibration issues for neutron diagnostics

International Nuclear Information System (INIS)

Sadler, G.J.; Adams, J.M.; Barnes, C.W.

1997-01-01

The performance of diagnostic systems are limited by their weakest constituents, including their calibration issues. Neutron diagnostics are notorious for problems encountered while determining their absolute calibrations, due mainly to the nature of the neutron transport problem. In order to facilitate the determination of an accurate and precise calibration, the diagnostic design should be such as to minimize the scattered neutron flux. ITER will use a comprehensive set of neutron diagnostics--comprising radial and vertical neutron cameras, neutron spectrometers, a neutron activation system and internal and external fission chambers--to provide accurate measurements of fusion power and power densities as a function of time. The calibration of such an important diagnostic system merits careful consideration. Some thoughts have already been given to this subject during the conceptual design phase in relation to the time-integrated neutron activation and time-dependent neutron yield monitors. However, no overall calibration strategy has been worked out so far. This paper represents a first attempt to address this vital issue. Experience gained from present large tokamaks (JET, TFTR and JT60U) and proposals for ITER are reviewed. The need to use a 14-MeV neutron generator as opposed to radioactive sources for in-situ calibration of D-T diagnostics will be stressed. It is clear that the overall absolute determination of fusion power will have to rely on a combination of nuclear measuring techniques, for which the provision of accurate and independent calibrations will constitute an ongoing process as ITER moves from one phase of operation to the next

What's in a Name? Health Care Providers' Perceptions of Pediatric Pain Patients Based on Diagnostic Labels.

Science.gov (United States)

Betsch, Taylor A; Gorodzinsky, Ayala Y; Finley, G A; Sangster, Michael; Chorney, Jill

2017-08-01

Diagnostic labels can help patients better understand their symptoms and can influence providers' treatment planning and patient interactions. Recurrent pain is common in childhood; however, there are various diagnostic labels used. The objective of this study was to evaluate the influence of diagnostic labels on pediatric health care providers' perceptions of pediatric chronic pain patients. Using an online survey, providers were randomly assigned to 1 of 2 vignette conditions (differing only in diagnostic label provided) and completed questionnaires about their perceptions of the vignette patient. Responses from 58 participants were analyzed. The 2 groups, based on diagnostic conditions used (fibromyalgia and chronic widespread pain) did not differ significantly on general demographics and health care providers' perceptions of the patient. Perceived origin of the pain influenced providers' perceptions; pain of a perceived medical origin was negatively correlated with stigmatization and positively correlated with sympathy. Perceived psychological origin was positively correlated with stigmatization and providers' age. Health care providers' perceptions of children's pain are more likely influenced by the presumed etiology rather than the diagnostic label used. Pain believed to be more medically based was associated with more positive reactions from providers (ie, less stigmatization). Older providers in particular perceived the patient more negatively if they believe the pain to be psychologically based. The findings of this pediatric study replicated findings from adult literature on chronic pain, suggesting that children and adults are subject to negative perceptions from health care providers when the providers believe the pain to be psychological in origin.

Dual processing and diagnostic errors.

Science.gov (United States)

Norman, Geoff

2009-09-01

In this paper, I review evidence from two theories in psychology relevant to diagnosis and diagnostic errors. "Dual Process" theories of thinking, frequently mentioned with respect to diagnostic error, propose that categorization decisions can be made with either a fast, unconscious, contextual process called System 1 or a slow, analytical, conscious, and conceptual process, called System 2. Exemplar theories of categorization propose that many category decisions in everyday life are made by unconscious matching to a particular example in memory, and these remain available and retrievable individually. I then review studies of clinical reasoning based on these theories, and show that the two processes are equally effective; System 1, despite its reliance in idiosyncratic, individual experience, is no more prone to cognitive bias or diagnostic error than System 2. Further, I review evidence that instructions directed at encouraging the clinician to explicitly use both strategies can lead to consistent reduction in error rates.

Optical beam diagnostics on PEP

International Nuclear Information System (INIS)

Sabersky, A.P.

1981-02-01

In designing the PEP optical diagnostics we have been able to build on the experience gained with SPEAR. Most of the problems at SPEAR could be traced to the optical diagnostic system being inside the tunnel. A machine shutdown is required for any maintenance or modification. This implies that in order to make such an instrument successful, a large engineering effort must be mounted to ensure 100% operation at startup. The functions that do not work at startup may never be made to work; this has happened at several machines. Experimental setups are likewise risky and time consuming. A point which has been borne out in both SPEAR and PEP is that the mechanical part of the instrument, the special vacuum chamber, the optical mounts, the alignment and adjustments, require approximately 60% of the effort and cost of the optical diagnostics. It is far better to economize on detectors and electronics than on mechanical and optical essentials

The Influence of Trust in Principals' Mentoring Experiences across Different Career Phases

Science.gov (United States)

Bakioglu, Aysen; Hacifazlioglu, Ozge; Ozcan, Kenan

2010-01-01

The purpose of this study is to examine the perceptions of primary school principals about the influence of "trust" in their mentoring experiences. Both quantitative and qualitative methods were used in the study. The Primary School Principals' Mentoring Questionnaire previously developed by the researchers was applied to 1462 primary…

Student Perceptions of the Hip Hop Culture's Influence on the Undergraduate Experience

Science.gov (United States)

Wessel, Roger D.; Wallaert, Kerry A.

2011-01-01

This study sought to determine how identification and engagement with the hip hop culture influenced the educational experiences of undergraduate students at a Midwestern, predominately White university by interviewing 11 students who self-identified as being immersed in the hip hop culture. Through a qualitative, phenomenological investigation,…

Plasma diagnostics in compact torus of UNICAMP (Campinas state university)

International Nuclear Information System (INIS)

Ueda, M; Doi, Y.; Aramaki, E.A.; Porto, P.; Berni, L.; Machida, M.

1989-08-01

This paper which describes experiments carried out in the Compact Torus of UNICAMP (TC-1) is divided into 3 parts: 1) summary of TC-1 characteristics and its operation mode; 2) description of diagnostics in use and ones to be installed, 3) recent experimental results using optical and electromagnetical diagnostics. (author)

When Diagnostic Labels Mask Trauma

Science.gov (United States)

Foltz, Robert; Dang, Sidney; Daniels, Brian; Doyle, Hillary; McFee, Scott; Quisenberry, Carolyn

2013-01-01

A growing body of research shows that many seriously troubled children and adolescents are reacting to adverse life experiences. Yet traditional diagnostic labels are based on checklists of surface symptoms. Distracted by disruptive behavior, the common response is to medicate, punish, or exclude rather than respond to needs of youth who have…

An intelligent diagnostic aid (ida) based upon the simulated and operational experience

International Nuclear Information System (INIS)

Zuenkov, M.; Poletykin, A.; Marsiletti, M.

1999-01-01

A diagnostic system has been developed addressed to timely trouble shooting in process plants during all operational modes. The theory of this diagnostic system is related with the usage of learning methods for automatic generation of knowledge bases. This approach enables the conversion of 'cause to effect' relations into 'effect to possible causes' ones. As applied to technical diagnosis, this allows one to generate troubleshooting rules of the kind 'symptoms to possible diagnosis' through 'failure to symptoms' relations. The problem of diagnostic rule generation is, thus, reduced to obtaining samples of the symptoms, that is the well known problem of failure modelling. The diagnostic rules are derived from the operation of a simulator according to the following procedure: (a) identification of all initiating events and of the corresponding operational modes; (b) simulation of all the selected transients for a time sufficient to identify the uniqueness of the plant response under each of the initiating event; (c) automatic generation of the set of diagnostic rules that, through the use of temporal logic and a filtering Expert System, associate the evolution of the process parameters and their derivatives to the initial perturbation. The plant model running under the simulator is built-up by means of the LEGO code. The LEGO code is a modular package developed at the Research and Development Department of the Italian National Electricity Board (CRA-ENEL) to facilitate modelling of the dynamics of fossil-fuelled and nuclear power plants. The LEGO code consists of a library of pre-programmed, pre-tested and pre-validated modules, that represent power plant components and a master program which allows the user to build-up a model by automatically interconnecting the modules in the arrangement determined by the modeler. The reference plant is Sampierdarena power station, that is a combined cycle plant dedicated to produce both electrical and heat power. The following

Status of ITER neutron diagnostic development

Science.gov (United States)

Krasilnikov, A. V.; Sasao, M.; Kaschuck, Yu. A.; Nishitani, T.; Batistoni, P.; Zaveryaev, V. S.; Popovichev, S.; Iguchi, T.; Jarvis, O. N.; Källne, J.; Fiore, C. L.; Roquemore, A. L.; Heidbrink, W. W.; Fisher, R.; Gorini, G.; Prosvirin, D. V.; Tsutskikh, A. Yu.; Donné, A. J. H.; Costley, A. E.; Walker, C. I.

2005-12-01

Due to the high neutron yield and the large plasma size many ITER plasma parameters such as fusion power, power density, ion temperature, fast ion energy and their spatial distributions in the plasma core can be measured well by various neutron diagnostics. Neutron diagnostic systems under consideration and development for ITER include radial and vertical neutron cameras (RNC and VNC), internal and external neutron flux monitors (NFMs), neutron activation systems and neutron spectrometers. The two-dimensional neutron source strength and spectral measurements can be provided by the combined RNC and VNC. The NFMs need to meet the ITER requirement of time-resolved measurements of the neutron source strength and can provide the signals necessary for real-time control of the ITER fusion power. Compact and high throughput neutron spectrometers are under development. A concept for the absolute calibration of neutron diagnostic systems is proposed. The development, testing in existing experiments and the engineering integration of all neutron diagnostic systems into ITER are in progress and the main results are presented.

Status of ITER neutron diagnostic development

International Nuclear Information System (INIS)

Krasilnikov, A.V.; Sasao, M.; Kaschuck, Yu.A.; Nishitani, T.; Batistoni, P.; Zaveryaev, V.S.; Popovichev, S.; Iguchi, T.; Jarvis, O.N.; Kaellne, J.; Fiore, C.L.; Roquemore, A.L.; Heidbrink, W.W.; Fisher, R.; Gorini, G.; Prosvirin, D.V.; Tsutskikh, A.Yu.; Donne, A.J.H.; Costley, A.E.; Walker, C.I.

2005-01-01

Due to the high neutron yield and the large plasma size many ITER plasma parameters such as fusion power, power density, ion temperature, fast ion energy and their spatial distributions in the plasma core can be measured well by various neutron diagnostics. Neutron diagnostic systems under consideration and development for ITER include radial and vertical neutron cameras (RNC and VNC), internal and external neutron flux monitors (NFMs), neutron activation systems and neutron spectrometers. The two-dimensional neutron source strength and spectral measurements can be provided by the combined RNC and VNC. The NFMs need to meet the ITER requirement of time-resolved measurements of the neutron source strength and can provide the signals necessary for real-time control of the ITER fusion power. Compact and high throughput neutron spectrometers are under development. A concept for the absolute calibration of neutron diagnostic systems is proposed. The development, testing in existing experiments and the engineering integration of all neutron diagnostic systems into ITER are in progress and the main results are presented

Status of ITER neutron diagnostic development

International Nuclear Information System (INIS)

Sasao, M.; Krasilnikov, A.V.; Kaschuck, Yu.A.; Nishitani, T.; Batistoni, P.; Zaveryaev, V.S.; Popovichev, S.; Jarvis, O.N.; Iguchi, T.; Kaellne, J.; Fiore, C.L.; Roquemore, A.L.; Heidbrink, W.W.; Fisher, R.; Gorini, G.; Donne, A.J.H.; Costley, A.E.; Walker, C.I.

2005-01-01

Due to the high neutron yield and the large plasma size many ITER plasma parameters such as fusion power, power density, ion temperature, fast ion energy and their spatial distributions in the plasma core can be well measured by various neutron diagnostics. Neutron diagnostic systems under consideration and development for ITER include: radial and vertical neutron cameras (RNC and VNC), internal and external neutron flux monitors, neutron activation systems and neutron spectrometers. The two-dimensional neutron source strength and spectral measurements can be provided by the combined RNC and VNC. The neutron flux monitors need to meet the ITER requirement of time-resolved measurements of the neutron source strength and can provide the signals necessary for real-time control of the ITER fusion power. Compact and high throughput neutron spectrometers are under development. A concept for the absolute calibration of neutron diagnostic systems is proposed. The development, testing in existing experiments and the engineering integration of all neutron diagnostic systems into ITER are in progress and the main results are presented. (author)

The safety and efficacy of the Angio-Seal closure device in diagnostic and interventional neuroangiography setting: a single-center experience with 1,443 closures

Energy Technology Data Exchange (ETDEWEB)

Geyik, Serdar; Yavuz, Kivilcim; Akgoz, Ayca; Koc, Osman; Peynircioglu, Bora; Cil, Barbaros; Cekirge, Saruhan; Saatci, Isil [Hacettepe University Hospitals, Radiology Department, Ankara (Turkey)

2007-09-15

We evaluated the safety and efficacy of the Angio-Seal closure device used to close arterial puncture sites in patients who had undergone diagnostic cerebral angiography and neurointerventional procedures. A total of 1,443 Angio-Seal devices were placed in 1,099 patients in the Interventional Neuroradiology Unit between May 2005 and August 2006. Of these, 670 were interventional and 745 were diagnostic cerebral angiographic procedures. In 28 patients bilateral puncture of the femoral arteries was performed for endovascular treatment. In 167 patients 286 repeat diagnostic procedures were performed and 30 interventional procedures were followed by re-closure with an Angio-Seal device at the time of repeat puncture. The procedural success rate for antegrade closures was 99.7% for all procedures. The device failed in 5 of 745 diagnostic procedures (0.7%). Major complication occurred in one patient only (0.13%) in the diagnostic group. No minor complications were observed in this group. In the interventional group, the major complication rate was 1.4% (10 of 698 closures) and the minor complication rate was 2.4% (17 of 698 closures). However, in the subgroup of patients with cerebral aneurysms who received heparin in combination with antiplatelet agents after the procedure, the major complication rate was 5.3%, but in the carotid/vertebral stenting group it was 0.8%. Our experience in a relatively large series of patients shows that the use of the Angio-Seal STS vascular closure device is safe and effective in patients undergoing cerebral diagnostic angiography and neurointerventional procedures with an acceptable rate of complications, although the complication rate was higher in the group of patients who received heparin and/or antiplatelet medication. (orig.)

Genetic risk from diagnostic X-ray procedures

International Nuclear Information System (INIS)

Stephan, G.

1980-01-01

This essay introduces epidemiologic studies concerned with the question whether diagnostic X-ray procedures might be the cause of an increased genetic risk. All studies have selected Down's syndrome (mongolism) as genetic indicator. They indiscriminately present the opinion of the respective author. Approximately one half of the studies conclude that radiation exposure will not influence the spontaneous incidence of Down's syndrome in diagnostics, the other half finds a positive relationship between frequent radiation exposure and the incidence of the syndrome. For various reasons, explained in detail, the results of the studies under discussion are suitable for forming hypotheses, but should not be viewed as providing evidence. (orig.) [de

CAD-Based Shielding Analysis for ITER Port Diagnostics

Directory of Open Access Journals (Sweden)

Serikov Arkady

2017-01-01

Full Text Available Radiation shielding analysis conducted in support of design development of the contemporary diagnostic systems integrated inside the ITER ports is relied on the use of CAD models. This paper presents the CAD-based MCNP Monte Carlo radiation transport and activation analyses for the Diagnostic Upper and Equatorial Port Plugs (UPP #3 and EPP #8, #17. The creation process of the complicated 3D MCNP models of the diagnostics systems was substantially accelerated by application of the CAD-to-MCNP converter programs MCAM and McCad. High performance computing resources of the Helios supercomputer allowed to speed-up the MCNP parallel transport calculations with the MPI/OpenMP interface. The found shielding solutions could be universal, reducing ports R&D costs. The shield block behind the Tritium and Deposit Monitor (TDM optical box was added to study its influence on Shut-Down Dose Rate (SDDR in Port Interspace (PI of EPP#17. Influence of neutron streaming along the Lost Alpha Monitor (LAM on the neutron energy spectra calculated in the Tangential Neutron Spectrometer (TNS of EPP#8. For the UPP#3 with Charge eXchange Recombination Spectroscopy (CXRS-core, an excessive neutron streaming along the CXRS shutter, which should be prevented in further design iteration.

CAD-Based Shielding Analysis for ITER Port Diagnostics

Science.gov (United States)

Serikov, Arkady; Fischer, Ulrich; Anthoine, David; Bertalot, Luciano; De Bock, Maartin; O'Connor, Richard; Juarez, Rafael; Krasilnikov, Vitaly

2017-09-01

Radiation shielding analysis conducted in support of design development of the contemporary diagnostic systems integrated inside the ITER ports is relied on the use of CAD models. This paper presents the CAD-based MCNP Monte Carlo radiation transport and activation analyses for the Diagnostic Upper and Equatorial Port Plugs (UPP #3 and EPP #8, #17). The creation process of the complicated 3D MCNP models of the diagnostics systems was substantially accelerated by application of the CAD-to-MCNP converter programs MCAM and McCad. High performance computing resources of the Helios supercomputer allowed to speed-up the MCNP parallel transport calculations with the MPI/OpenMP interface. The found shielding solutions could be universal, reducing ports R&D costs. The shield block behind the Tritium and Deposit Monitor (TDM) optical box was added to study its influence on Shut-Down Dose Rate (SDDR) in Port Interspace (PI) of EPP#17. Influence of neutron streaming along the Lost Alpha Monitor (LAM) on the neutron energy spectra calculated in the Tangential Neutron Spectrometer (TNS) of EPP#8. For the UPP#3 with Charge eXchange Recombination Spectroscopy (CXRS-core), an excessive neutron streaming along the CXRS shutter, which should be prevented in further design iteration.

The influence of computer tomography on radiological diagnostics of malignant tumors

International Nuclear Information System (INIS)

Gerhardt, P.; Glueck, E.; Siems, H.

1981-01-01

A survey is presented of the present status of cancer diagnostics in the following organs and organ systems: neurocranium, visceral cranium and base of skull, larynx and thyroid, thorax, pancreas, retroperitoneum, kidneys and adrenal glands, pelvis, and skeletal system. The rank of computer tomography is compared with those of other examination techniques. (HT) [de

Development of gyrotrons for plasma diagnostics (invited)

International Nuclear Information System (INIS)

Woskoboinikow, P.

1986-01-01

Recent advances in high-frequency (>100 GHz) gyrotron technology are reviewed and application to millimeter/submillimeter wave plasma diagnostics is discussed. Gyrotrons have useful capabilities of high-power (>1 kW), long pulse/cw operation, narrow linewidth (<100 kHz), and good spatial mode quality with efficient (--90%) mode converters. These capabilities could be used to significantly improve collective Thomson scattering diagnostics for the study of instabilities, plasma waves, turbulence, and thermal ion fluctuations. Imaging applications with many detector arrays of plasma density, field direction, and microinstabilities may be possible with gyrotons. In a high-field compact ignition tokamak experiment a possible millimeter wave diagnostics window could be exploited by a gyrotron to measure a number of parameters, including alpha particle density and velocity distribution

Application of diagnostic system for diesel engine

International Nuclear Information System (INIS)

Yoshinaga, Takeshi; Hayashi, Haruji; Usui, Hiromi; Tsuruzono, Atsuya; Matsuda, Takafumi

2008-01-01

The Japan Atomic Power Company (JAPC) began to implement Condition Based Maintenance (CBM) for rotating components (pumps, fans and electric motors) from 1999 and, also has begun to apply diesel engine diagnostic techniques at our three nuclear power plants since 2004. This paper provides a description of the CBM methods used for diesel engines in nuclear standby service, a summary of the procedures to introduce these diagnostic techniques to our nuclear power plants, and experience with the application of these methods to JAPC nuclear power plants. (author)

Diagnostics

DEFF Research Database (Denmark)

Donné, A.J.H.; Costley, A.E.; Barnsley, R.

2007-01-01

of the measurements—time and spatial resolutions, etc—will in some cases be more stringent. Many of the measurements will be used in the real time control of the plasma driving a requirement for very high reliability in the systems (diagnostics) that provide the measurements. The implementation of diagnostic systems...... on ITER is a substantial challenge. Because of the harsh environment (high levels of neutron and gamma fluxes, neutron heating, particle bombardment) diagnostic system selection and design has to cope with a range of phenomena not previously encountered in diagnostic design. Extensive design and R......&D is needed to prepare the systems. In some cases the environmental difficulties are so severe that new diagnostic techniques are required. The starting point in the development of diagnostics for ITER is to define the measurement requirements and develop their justification. It is necessary to include all...

Influence of social media on customer experiences in restaurants: A South African study

OpenAIRE

Mhlanga, Oswald; Tichaawa, Tembi Maloney

2017-01-01

The purpose of this study was to determine the influence of social media on customers' experiences in restaurants in South Africa. Using the Nelson Mandela Metropolitan Municipality as a case study area, structured survey questionnaires were distributed at selected formal full-service restaurants to customers. The data analysis consisted of the experiences of respondents with different social media types and t-tests. The results indicated that on a 5 point Likert scale, customers who used Ins...

Malignancy rates and diagnostic performance of the Bosniak classification for the diagnosis of cystic renal lesions in computed tomography - a systematic review and meta-analysis.

Science.gov (United States)

Sevcenco, Sabina; Spick, Claudio; Helbich, Thomas H; Heinz, Gertraud; Shariat, Shahrokh F; Klingler, Hans C; Rauchenwald, Michael; Baltzer, Pascal A

2017-06-01

To systematically review the literature on the Bosniak classification system in CT to determine its diagnostic performance to diagnose malignant cystic lesions and the prevalence of malignancy in Bosniak categories. A predefined database search was performed from 1 January 1986 to 18 January 2016. Two independent reviewers extracted data on malignancy rates in Bosniak categories and several covariates using predefined criteria. Study quality was assessed using QUADAS-2. Meta-analysis included data pooling, subgroup analyses, meta-regression and investigation of publication bias. A total of 35 studies, which included 2,578 lesions, were investigated. Data on observer experience, inter-observer variation and technical CT standards were insufficiently reported. The pooled rate of malignancy increased from Bosniak I (3.2 %, 95 % CI 0-6.8, I 2  = 5 %) to Bosniak II (6 %, 95 % CI 2.7-9.3, I 2  = 32 %), IIF (6.7 %, 95 % CI 5-8.4, I 2  = 0 %), III (55.1 %, 95 % CI 45.7-64.5, I 2  = 89 %) and IV (91 %, 95 % CI 87.7-94.2, I 2  = 36). Several study design-related influences on malignancy rates and subsequent diagnostic performance indices were identified. The Bosniak classification is an accurate tool with which to stratify the risk of malignancy in renal cystic lesions. • The Bosniak classification can accurately rule out malignancy. • Specificity remains moderate at 74 % (95 % CI 64-82). • Follow-up examinations should be considered in Bosniak IIF and Bosniak II cysts. • Data on the influence of reader experience and inter-reader variability are insufficient. • Technical CT standards and publication year did not influence diagnostic performance.

Experiences of depression

DEFF Research Database (Denmark)

Rønberg, Mette

In this thesis, I examine the complex experiences of what we call depression in everyday life, the multifaceted and ambiguous experiences of getting a depression diagnosis, and the in-depth processes involved in learning to live under the description of depression. The thesis is based......-and-for-all-dealt-with matters but rather messy and complicated processes, that involve several actors and multiple relations to the diagnosis. The thesis furthermore challenges the dominant diagnostic understanding depression as a neurobiological, and individual disorder in present-day diagnostic cultures, by arguing...

The influence of gender role stereotyping on women's experiences of female same-sex intimate partner violence.

Science.gov (United States)

Hassouneh, Dena; Glass, Nancy

2008-03-01

Female same-sex intimate partner violence (FSSIPV) is a serious problem that affects the health and safety of lesbian and bisexual women. To begin to address the paucity of research, a mixed methods study was conducted to identify shared and unique risk and protective factors for FSSIPV. This article reports on qualitative findings related to the influence of gender role stereotyping on women's experiences of FSSIPV. Findings indicate that gender role stereotyping shapes women's experiences of FSSIPV by influencing individual, familial, community, and societal perceptions and responses to this phenomenon.

Silent microemboli related to diagnostic cerebral angiography: a matter of operator's experience and patient's disease

Energy Technology Data Exchange (ETDEWEB)

Krings, T. [University Hospital of the Technical University Aachen, Department of Neuroradiology, Aachen (Germany); University Hospital Aachen, Department of Neurosurgery, Aachen (Germany); Willmes, K.; Meister, I.G. [University Hospital Aachen, Department of Neurology, Aachen (Germany); Becker, R.; Mull, M.; Thron, A. [University Hospital of the Technical University Aachen, Department of Neuroradiology, Aachen (Germany); Hans, F.J.; Reinges, M.H.T. [University Hospital Aachen, Department of Neurosurgery, Aachen (Germany)

2006-06-15

The aim of the present investigation was to elucidate in a large consecutive patient cohort whether the level of training has an effect on the number of microemboli detected by diffusion-weighted imaging (DWI) and which additional risk factors can be identified. A total of 107 consecutive patients in whom a diagnostic cerebral angiography had been performed were prospectively investigated with DWI; 51 angiographies were performed by experienced neuroradiologists, 56 by neuroradiologists in training. In 12 patients (11.1%), a total of 17 new lesions without any clinically overt neurological symptoms were identified. Of these, 12 patients, 11 (91.7%) with 16 lesions were investigated by junior neuroradiologists. In 11 of 12 patients with DWI abnormalities (91.7%), risk factors could be identified (atherosclerotic vessel wall disease, vasculitis, hypercoagulable states). Experienced neuroradiologists performed 21 of 48 angiographies (43.8%) on patients with the above-mentioned risk factors, whereas junior neuroradiologists performed 27 angiographies in this subgroup (46.2%). The rate of diffusion abnormalities in patients with risk factors was 11/48 (22.9%) - considerably higher than in patients without risk factors (1/59; 1.7%). The level of experience and the nature of the underlying disease are predictors of the occurrence of cerebral ischemic events following neuroangiography. Alternative diagnostic modalities should be employed in patients who are investigated for diseases with the highest risk of angiographic complications (i.e., vasculitis, and arteriosclerotic vessel wall disease). If diagnostic angiography remains necessary in these patients, the highest level of practitioner training is necessary to ensure good patient outcome. (orig.)

The influence of probiotics on the cervical malignancy diagnostics quality

Directory of Open Access Journals (Sweden)

Perišić Živko

2011-01-01

Full Text Available Background/Aim. Probiotics help to provide an optimum balance in the intestines. Probiotics species competitive block toxic substances and growth of unwanted bacteria and yeast species while they compete for the space and food. Lactogyn® is the first oral probiotics on Serbian market dedicated to maintaining a normal vaginal flora. Lactogyn® contains two well studied probiotics strains - Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14. Both of them are considered as probiotic agents with therapeutic properties increase the population of beneficial lactobacillus organisms within the vagina. The aim of this study was to exam an influence of Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14 on results of cervical smear cytological testing including detection of atypical cells, detection of false positive and false negative findings as well as on vaginal microflora content in patients with vaginal infection signs and symptoms. Methods. Totally 250 women with signs of vaginal infection were selected to participate in the study. The study group comprised 125 patients taking studied probiotic strains along with specific anti-infective therapy. The control group comprised, also, 125 patients taking anti-infective agents, only. Probiotic preparation (Lactogyn ® capsules was administered orally (one capsule daily during 4 weeks. Before and six weeks after beginning of the therapy a cervical smear cytological test (the Papanicolaou test, as well as microbiological examination of the vaginal smear were performed. Results. Number of cases of inflammation and atypical squamous cells of undeterminated significance (ASCUS in the study group were significantly higher before administration of the probiotic preparation. The number of lactobacilli was significantly higher, and the number of pathogenic microorganisms lower in the group treated with this preparation. Conclusion. The application of probiotic strains Lactobacillus rhamnosus

Exploring the transition from student to practitioner in diagnostic radiography

International Nuclear Information System (INIS)

Naylor, S.; Ferris, C.; Burton, M.

2016-01-01

Introduction: This study explores the expectations and experiences of newly qualified diagnostic radiographers during their transition into practice. Methods: This was a longitudinal study using interpretative phenomenological analysis methodology. Data were gathered from four students who participated in a focus group. This informed semi structured interviews with a further eight students who were interviewed prior to starting work and three times over the following twelve months. Results: Themes generated from the data included; experience, fitting in, and identity. Conclusion: This study brings to light the experiences of newly qualified diagnostic radiographers. The findings are open to theoretical generalizability and raise issues that may be used by academic staff in the preparation of students and managers who support newly qualified staff members. - Highlights: • Diagnostic radiographers are well prepared for most clinical practice. • Clinical education cannot fully prepare students for the reality of practice. • Being familiar with a hospital, and staff, reduces the stress of starting work. • Newly qualified radiographers struggle taking responsibility for students. • Professional identity is a key issue in the transition from student to practitioner.

Measures to Improve Diagnostic Safety in Clinical Practice.

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Singh, Hardeep; Graber, Mark L; Hofer, Timothy P

2016-10-20

Timely and accurate diagnosis is foundational to good clinical practice and an essential first step to achieving optimal patient outcomes. However, a recent Institute of Medicine report concluded that most of us will experience at least one diagnostic error in our lifetime. The report argues for efforts to improve the reliability of the diagnostic process through better measurement of diagnostic performance. The diagnostic process is a dynamic team-based activity that involves uncertainty, plays out over time, and requires effective communication and collaboration among multiple clinicians, diagnostic services, and the patient. Thus, it poses special challenges for measurement. In this paper, we discuss how the need to develop measures to improve diagnostic performance could move forward at a time when the scientific foundation needed to inform measurement is still evolving. We highlight challenges and opportunities for developing potential measures of "diagnostic safety" related to clinical diagnostic errors and associated preventable diagnostic harm. In doing so, we propose a starter set of measurement concepts for initial consideration that seem reasonably related to diagnostic safety and call for these to be studied and further refined. This would enable safe diagnosis to become an organizational priority and facilitate quality improvement. Health-care systems should consider measurement and evaluation of diagnostic performance as essential to timely and accurate diagnosis and to the reduction of preventable diagnostic harm.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

Image quality - physical and diagnostic parameters. The radiologist's viewpoint

International Nuclear Information System (INIS)

Stender, H.St.

1985-01-01

The quality of a radiograph is determined by the diagnostic information it provides. This depends upon the visual detection of diagnostically relevant structures. The technical radiographic requirements are dependent upon the physical measurements and the physiological and optical conditions. Such physical factors as spatial resolution, contrast and noise are quantitative measurements, which must be oriented to the qualitative visual characteristics of the radiograph. The influence of subjective perception and complexity of structural noise on the detectability of details and structures particularly demands attention. Since radiographic quality depends upon the detection of diagnostically relevant structure and features, it is important to define these parameters on the basis of extensive radiographic analysis and the corresponding clinical findings. The diagnostically relevant radiographic parameters and image details and critical structures have been worked out for the examination of the lungs, colon, stomach, urinary tract and skeleton. Good image quality requires coordination of the physical-technical parameters with the visual ability of the observer, since only in this way can the diagnostic information be represented with sufficient clarity. (author)

The influences and experiences of African American undergraduate science majors at predominately White universities

Science.gov (United States)

Blockus, Linda Helen

The purpose of this study is to describe and explore some of the social and academic experiences of successful African American undergraduate science majors at predominately White universities with the expectation of conceptualizing emerging patterns for future study. The study surveyed 80 upperclass African Americans at 11 public research universities about their perceptions of the influences that affect their educational experiences and career interests in science. The mailed survey included the Persistence/ voluntary Dropout Decision Scale, the Cultural Congruity Scale and the University Environment Scale. A variety of potential influences were considered including family background, career goals, psychosocial development, academic and social connections with the university, faculty relationships, environmental fit, retention factors, validation, participation in mentored research projects and other experiences. The students' sources of influences, opportunities for connection, and cultural values were considered in the context of a research university environment and investigated for emerging themes and direction for future research. Results indicate that performance in coursework appears to be the most salient factor in African American students' experience as science majors. The mean college gpa was 3.01 for students in this study. Challenging content, time demands, study habits and concern with poor grades all serve to discourage students; however, for most of the students in this study, it has not dissuaded them from their educational and career plans. Positive course performance provided encouragement. Science faculty provide less influence than family members, and more students find faculty members discouraging than supportive. Measures of faculty relations were not associated with academic success. No evidence was provided to confirm the disadvantages of being female in a scientific discipline. Students were concerned with lack of minority role models

Lifestyle influences on the association between pre-diagnostic hormone replacement therapy and breast cancer prognosis - results from The Danish 'Diet, Cancer and Health' prospective cohort

DEFF Research Database (Denmark)

Holm, Marianne; Olsen, Anja; Kroman, Niels

2014-01-01

OBJECTIVES: The association between pre-diagnostic hormone replacement therapy (HRT) and breast cancer specific mortality as well as potential influences from other lifestyle factors on the association was investigated. STUDY DESIGN: Female participants from the prospective cohort "Diet, Cancer......, and Health" diagnosed with breast cancer (BC) were identified and their pre-diagnostic HRT use evaluated for association with tumour biology and breast cancer outcome in multivariate analysis. MAIN OUTCOME MEASURE: Breast cancer specific mortality. RESULTS: Of the 1212 patients originally considered 1064...... were included. Of these, 105 women died from breast cancer during a median follow-up of 6.3 years (range 0.2-14.3 years). In multivariate analyses women who used HRT at enrolment into the cohort study had 47% lower risk of dying from breast cancer as compared to women who had previously or never used...

The utility of administrative diagnostic x rays. Final report

International Nuclear Information System (INIS)

Potchen, E.J.; Gard, J.W.; Gift, D.A.; Harris, G.I.; Alexander, G.P.

1982-08-01

A significant proportion of diagnostic medical procedures is used in response to public or private policy rather than individual patient/physician interaction. Such administrative use of diagnostic procedures illustrates the lack of accepted 'referral criteria.' This document reports results of a descriptive study of policy formulation and implementation regarding use of employment-related chest and lumbar-spine radiographs by employers in the State of Michigan. Major observations of the study are that: factors influencing policy formulation are diverse and largely nonmedical; organizational policies developed in similar environments are often very dissimilar and are highly subject to external influence; and perceptions of policy success and examination utility typically are subjective and uncertain. It is concluded that considerable opportunity exists to enhance the utility of policy-motivated x rays by modifying the processes of policy formulation and evaluation

Health professionals' perceptions of cultural influences on stroke experiences and rehabilitation in Kuwait.

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Omu, Onutobor; Reynolds, Frances

2012-01-01

The aim of this study was to investigate the perceptions of health professionals who treat stroke patients in Kuwait regarding cultural influences on the experience of stroke and rehabilitation in Kuwait. Health professionals interviewed were from a variety of cultural backgrounds thus providing an opportunity to investigate how they perceived the influence of culture on stroke recovery and rehabilitation in Kuwait. Semi-structured interviews were carried out with 12 health professionals with current/recent stroke rehabilitation experience in Kuwait, followed by thematic analysis of the verbatim transcripts. The health professionals identified several features of the Kuwaiti culture that they believed affected the experiences of stroke patients. These were religious beliefs, family involvement, limited education and public information about stroke, prevailing negative attitudes toward stroke, access to finances for private treatment, social stigma and the public invisibility of disabled people, difficulties identifying meaningful goals for rehabilitation, and an acceptance of dependency linked with the widespread presence of maids and other paid assistants in most Kuwaiti homes. To offer culturally sensitive care, these issues should be taken into account during the rehabilitation of Kuwaiti stroke patients in their home country and elsewhere.

Distress in suspected lung cancer patients following rapid and standard diagnostic programs: a prospective observational study.

Science.gov (United States)

Brocken, Pepijn; van der Heijden, Erik H F M; Oud, Karen T M; Bootsma, Gerben; Groen, Harry J M; Donders, A Rogier T; Dekhuijzen, P N Richard; Prins, Judith B

2015-04-01

Timeliness may influence emotional distress during the diagnostic phase of suspected lung cancer patients. We performed a prospective observational study to compare distress and quality of life (QoL) in two medical centres with a Rapid Outpatient Diagnostic Program (RODP) and two using conventional Stepwise Diagnostic Approach (SDA) on the basis of trained nurse-led care. Outpatients with radiological suspicion of lung cancer completed the Hospital Anxiety and Depression Scale (HADS), European Organization for Research and Treatment of Cancer 30-item Quality of Life Questionnaire (QLQ-C30) and its 13-item Lung Cancer specific module (QLQ-LC13) upon first visit, 2 days later, thereafter weekly for 5 weeks and after 3 months. The 72 SDA patients and 121 RODP patients had a mean pre-diagnostic HADS-total score of 13.5 (SD 7.6); 63.4% had a score ≥10. Baseline QLQ-C30 global QoL was 61.6 (SD 22.7) exceeding reference values for lung cancer patients. Generalized least square models showed a significant centre by time interaction effect: during the first 6 weeks, HADS-total scores decreased in RODP patients (13.8-11.9) but sustained in SDA patients (13.1-13.6), whereas QoL showed no relevant changes. Times to diagnosis and discussion of therapy plan for RODP patients were 7 and 11 days shorter, respectively. Suspected lung cancer patients had high baseline distress levels. A decrease over time was found in RODP compared with SDA patients. QoL did not change relevantly. Albeit observational, these data indicate that patients experience less distress in rapid diagnostic programs than in stepwise diagnostic evaluation. Copyright © 2014 John Wiley & Sons, Ltd.

The impact of different diagnostic criteria on PTSD prevalence

DEFF Research Database (Denmark)

O'Connor, Maja; Lasgaard, Mathias; Spindler, Helle

2007-01-01

The diagnostic criteria for PTSD have undergone several changes in the last two decades. This may in part explain the great variance in PTSD prevalence found in existing research. The objective of this study is to investigate the influence of different diagnostic criteria and different combinations...... of criteria on PTSD prevalence. A sample of 242 Danish social work students (M =29.2 years) completed a list of potentially traumatizing events, major life events and the Harvard Trauma Questionnaire. A considerable difference in PTSD prevalence as a result of different diagnostic criteria of PTSD was found....... Future meta-analyses and reviews of PTSD prevalence must take into account the impact of changing criteria on prevalence. Clinicians also need to address this issue when assessing PTSD...

Magnetic nanoparticles in magnetic resonance imaging and diagnostics.

Science.gov (United States)

Rümenapp, Christine; Gleich, Bernhard; Haase, Axel

2012-05-01

Magnetic nanoparticles are useful as contrast agents for magnetic resonance imaging (MRI). Paramagnetic contrast agents have been used for a long time, but more recently superparamagnetic iron oxide nanoparticles (SPIOs) have been discovered to influence MRI contrast as well. In contrast to paramagnetic contrast agents, SPIOs can be functionalized and size-tailored in order to adapt to various kinds of soft tissues. Although both types of contrast agents have a inducible magnetization, their mechanisms of influence on spin-spin and spin-lattice relaxation of protons are different. A special emphasis on the basic magnetism of nanoparticles and their structures as well as on the principle of nuclear magnetic resonance is made. Examples of different contrast-enhanced magnetic resonance images are given. The potential use of magnetic nanoparticles as diagnostic tracers is explored. Additionally, SPIOs can be used in diagnostic magnetic resonance, since the spin relaxation time of water protons differs, whether magnetic nanoparticles are bound to a target or not.

The diagnostic and therapeutic impact of MRI: an observational multi-centre study

International Nuclear Information System (INIS)

Hollingworth, William; Todd, Christopher J.; Bell, Matthew I.; Arafat, Qais; Girling, Simon; Karia, Kanti R.; Dixon, Adrian K.

2000-01-01

AIM: To provide information about the diagnostic and therapeutic impact of magnetic resonance imaging (MRI) and to compare the findings across diagnostic groups. MATERIALS AND METHODS: A prospective, observational study of 2017 consecutive referrals for MRI of the head, spine or knee at four imaging centres. Clinicians completed questionnaires before MRI stating initial diagnoses, diagnostic confidence and treatment plans. After imaging, a second questionnaire evaluated clinicians' revised diagnosis and treatment plans in the light of imaging findings. Patients were grouped into nine diagnostic categories for analysis. Comparison between pre- and post-imaging was used to assess the diagnostic and therapeutic impact of MRI. RESULTS: In seven of nine diagnostic groups MRI findings were associated with a diagnostic impact. Diagnoses were revised or discarded following normal MR findings and diagnostic confidence was increased by confirmative MR findings. There was no statistically significant diagnostic impact for suspected pituitary or cerebello-pontine angle lesions. In five of nine diagnostic groups (knee meniscus, knee ligament, multiple sclerosis, lumbar and cervical spine) MRI findings had a clear impact on treatment plans. CONCLUSION: This study demonstrates that in most diagnostic categories, MRI influences diagnosis and treatment. However, experimental studies are needed to prove that these diagnostic and therapeutic impacts lead to improved health. Hollingworth (2000)

The diagnostic and therapeutic impact of MRI: an observational multi-centre study

Energy Technology Data Exchange (ETDEWEB)

Hollingworth, William; Todd, Christopher J.; Bell, Matthew I.; Arafat, Qais; Girling, Simon; Karia, Kanti R.; Dixon, Adrian K

2000-11-01

AIM: To provide information about the diagnostic and therapeutic impact of magnetic resonance imaging (MRI) and to compare the findings across diagnostic groups. MATERIALS AND METHODS: A prospective, observational study of 2017 consecutive referrals for MRI of the head, spine or knee at four imaging centres. Clinicians completed questionnaires before MRI stating initial diagnoses, diagnostic confidence and treatment plans. After imaging, a second questionnaire evaluated clinicians' revised diagnosis and treatment plans in the light of imaging findings. Patients were grouped into nine diagnostic categories for analysis. Comparison between pre- and post-imaging was used to assess the diagnostic and therapeutic impact of MRI. RESULTS: In seven of nine diagnostic groups MRI findings were associated with a diagnostic impact. Diagnoses were revised or discarded following normal MR findings and diagnostic confidence was increased by confirmative MR findings. There was no statistically significant diagnostic impact for suspected pituitary or cerebello-pontine angle lesions. In five of nine diagnostic groups (knee meniscus, knee ligament, multiple sclerosis, lumbar and cervical spine) MRI findings had a clear impact on treatment plans. CONCLUSION: This study demonstrates that in most diagnostic categories, MRI influences diagnosis and treatment. However, experimental studies are needed to prove that these diagnostic and therapeutic impacts lead to improved health. Hollingworth (2000)

Interrelated experiments in laboratory and space plasmas

International Nuclear Information System (INIS)

Koepke, M. E.

2005-01-01

Many advances in understanding space plasma phenomena have been linked to insight derived from theoretical modelling and/or laboratory experiments. Here are discussed advances for which laboratory experiments played an important role. How the interpretation of the space plasma data was influenced by one or more laboratory experiments is described. The space-motivation of laboratory investigations and the scaling of laboratory plasma parameters to space plasma conditions are discussed. Examples demonstrating how laboratory experiments develop physical insight, benchmark theoretical models, discover unexpected behaviour, establish observational signatures, and pioneer diagnostic methods for the space community are presented. The various device configurations found in space-related laboratory investigations are outlined. A primary objective of this review is to articulate the overlapping scientific issues that are addressable in space and lab experiments. A secondary objective is to convey the wide range of laboratory and space plasma experiments involved in this interdisciplinary alliance. The interrelation ship between plasma experiments in the laboratory and in space has a long history, with numerous demonstrations of the benefits afforded the space community by laboratory results. An experiment's suitability and limitations for investigating space processes can be quantitatively established using dimensionless parameters. Even with a partial match of these parameters, aspects of waves, instabilities, nonlinearities, particle transport, reconnection, and hydrodynamics are addressable in a way useful to observers and modelers of space phenomena. Because diagnostic access to space plasmas, laboratory-experimentalists awareness of space phenomena, and efforts by theorists and funding agencies to help scientists bridge the gap between the space and laboratory communities are increasing, the range of laboratory and space plasma experiments with overlapping scientific

Development of Diagnostics for Large-Scale Experiments with Dense Magnetized Plasmas - MJ Plasma-focus diagnostics systems

Energy Technology Data Exchange (ETDEWEB)

Scholz, M.; Karpinski, L.; Paduch, M.; Pisarczyk, T.; Zielinska, E.; Chodukowski, T. [Institute of Plasma Physics and Laser Microfusion IPPLM, 01-497 Warsaw (Poland); Sadowski, M.J. [Institute of Plasma Physics and Laser Microfusion IPPLM, 01-497 Warsaw (Poland)] [The Andrzej Soltan Institute for Nuclear Studies IPJ, 05-400 Otwock-Swiert (Poland); Skladnik-Sadowska, E.; Czaus, K.; Kwiatkowski, R.; Malinowski, K. [The Andrzej Soltan Institute for Nuclear Studies IPJ, 05-400 Otwock-Swiert (Poland); Krauz, S. [RNC Kurchatov Institute, Moscow (Russian Federation); Mitrovanov, K. [FGUP GNC RF Triniti, Troick (Russian Federation)

2011-07-01

This document presents the diagnostics arrangements and interesting results of research on fusion pulsed plasma, which was generated within the large PF-1000 facility operated in the Institute of Plasma Physics and Laser Microfusion (Warsaw, Poland). Experimental studies were carried out with the following diagnostic techniques: 1) Rogovski coil for current measurements; 2) Four dI/dt probes in different places around the collector of PF-1000; 3) Voltage divider; 4) Mach-Zender interferometer (16 frames); 5) Fast scintillation probes for X-ray and neutron detection; 6) Silver activation counters; 7) Specially prepared current probes; 8) Thomson spectrometer for mass- and energy-analysis of deuterium beams; 9) Ion-pinhole cameras equipped with nuclear-track detectors, etc. The studies have been carried out with the pure deuterium filling, and particular attention was paid to correlations between the fast-neutron emission and an evolution of plasma parameters. The total fusion-neutron yield, as measured with four silver-activation counters, was found to be up to 7*10{sup 11} per shot, depending on the experimental conditions. Correlations of the neutron pulses with interferometric frame-pictures of the PF pinch column were studied. From time-of-flight (ToF) measurements of the fusion neutrons it was possible to estimate a CM velocity of deuterons involved in the D-D reactions. The fast fusion-produced protons have also been recorded and analyzed by means pinhole cameras and shielded track detectors. The document is composed of an abstract followed by the slides of the presentation. (authors)

Psycho-physiological characteristics of students-powerlifters of different training experience, who have affections of muscular skeletal apparatus

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V.S. Lobko

2015-05-01

Full Text Available Purpose: study of many years’ power lifting trainings influence on psycho-physiological and other characteristics of students, who have affections of muscular skeletal apparatus. Material: the research covered 73 students of 18-22 yrs. Age, who have different training experience. To exclude influence of previous training on experiment’s results, researches were conducted after 2-3 days of rest. The author studied personality’s features (by T. Elers. Psychological diagnostic was conducted by methodic of M.V. Makarenko. Results: different psycho-physiological characteristics, indicators of psychological state and personality’s features were found in students, depending on their power lifting training experience. Improvement of functional and nervous power indicators under influence of systemic power lifting trainings was detected. Conclusions: it was determined that improvement of students’ sportsmanship is accompanied by noticeable improvement of practically all tested indicators.

Diagnostic accuracy of the Eurotest for dementia: a naturalistic, multicenter phase II study

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Frank Ana

2006-04-01

Full Text Available Abstract Background Available screening tests for dementia are of limited usefulness because they are influenced by the patient's culture and educational level. The Eurotest, an instrument based on the knowledge and handling of money, was designed to overcome these limitations. The objective of this study was to evaluate the diagnostic accuracy of the Eurotest in identifying dementia in customary clinical practice. Methods A cross-sectional, multi-center, naturalistic phase II study was conducted. The Eurotest was administered to consecutive patients, older than 60 years, in general neurology clinics. The patients' condition was classified as dementia or no dementia according to DSM-IV diagnostic criteria. We calculated sensitivity (Sn, specificity (Sp and area under the ROC curves (aROC with 95% confidence intervals. The influence of social and educational factors on scores was evaluated with multiple linear regression analysis, and the influence of these factors on diagnostic accuracy was evaluated with logistic regression. Results Sixteen neurologists recruited a total of 516 participants: 101 with dementia, 380 without dementia, and 35 who were excluded. Of the 481 participants who took the Eurotest, 38.7% were totally or functionally illiterate and 45.5% had received no formal education. Mean time needed to administer the test was 8.2+/-2.0 minutes. The best cut-off point was 20/21, with Sn = 0.91 (0.84–0.96, Sp = 0.82 (0.77–0.85, and aROC = 0.93 (0.91–0.95. Neither the scores on the Eurotest nor its diagnostic accuracy were influenced by social or educational factors. Conclusion This naturalistic and pragmatic study shows that the Eurotest is a rapid, simple and useful screening instrument, which is free from educational influences, and has appropriate internal and external validity.

Physics R and D in support of ITER/BPX diagnostic development

International Nuclear Information System (INIS)

Donne, A.J.H.; Boivin, R.; Costley, A.E.

2003-01-01

The development of diagnostics for a next step burning plasma experiment (BPX) is a major challenge. Within the International Tokamak Physics Activity (ITPA), one Topical Group (TG) specialises in diagnostics and aims to support the development and design of the needed systems. Several diagnostics issues have been identified as 'high priority' and form the focus of current work of the TG. The core of this paper is a presentation and discussion of recent progress in the field of these high priority research topics. Moreover, the status of the recently initiated International Diagnostic Database will be briefly described. (author)

Solar wind and magnetosphere plasma diagnostics by spacecraft electrostatic potential measurements

Directory of Open Access Journals (Sweden)

A. Pedersen

1995-02-01

Full Text Available Several satellites (GEOS-1, GEOS-2, ISEE-1, Viking and CRRES carried electric field experiments on which probes were driven by a current from the satellite to be close to the plasma potential. The potential difference between an electric field probe and its spacecraft (with conductive surfaces can be used to determine the ambient electron density and/or electron flux with limited accuracy but with high time resolution, of the order of 10-100 ms. It is necessary for the development of this diagnostic method to understand the photoemission characteristics of probes and satellites. According to the electric field experiments on the above-mentioned satellites, all materials develop very similar photoemission properties when they are beyond the influence of atmospheric oxygen. The photoelectron yield steadily increases over the first few months in space and reaches values well above those measured on clean surfaces in the laboratory. The method can be used for solar radiation levels corresponding to distances from 0.4 to 5 AU from the Sun.

Is the diagnostic yield influenced by the indication for fetal autopsy?

Science.gov (United States)

Puri, Ratna Dua; Kotecha, Udhaya; Lall, Meena; Dash, Pratima; Bijarnia-Mahay, Sunita; Verma, Ishwar Chander

2016-08-01

The utility of fetal autopsy to corroborate antenatal ultrasound findings and to aid genetic counseling is well known. However, the ability to identify an underlying cause for the common indications for which it is performed is not well studied. This study aimed to determine if the diagnostic yield of fetal autopsy in identifying the underlying cause is determined by the indication of the autopsy. Five groups of fetuses were defined based on the indication for the autopsy performed in 903 cases: (i) malformations, (ii) intrauterine death (IUD), (iii) cystic hygroma and hydrops fetalis, (iv) isolated abnormalities of amniotic fluid, and (v) intrauterine growth restriction (IUGR). The highest diagnostic yield was in fetuses with isolated abnormalities of amniotic fluid (77%), followed by those with IUGR (75%), with IUD (69.6%), those in group five (55.2%) and lowest (45%) in fetuses with malformations (P autopsy related its common indications, can be utilized to counsel families of the utility of autopsy to establish cause and recurrence risks and thereby assist then to make an informed decision to consent for the procedure. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

2012 HIV Diagnostics Conference: the molecular diagnostics perspective.

Science.gov (United States)

Branson, Bernard M; Pandori, Mark

2013-04-01

2012 HIV Diagnostic Conference Atlanta, GA, USA, 12-14 December 2012. This report highlights the presentations and discussions from the 2012 National HIV Diagnostic Conference held in Atlanta (GA, USA), on 12-14 December 2012. Reflecting changes in the evolving field of HIV diagnostics, the conference provided a forum for evaluating developments in molecular diagnostics and their role in HIV diagnosis. In 2010, the HIV Diagnostics Conference concluded with the proposal of a new diagnostic algorithm which included nucleic acid testing to resolve discordant screening and supplemental antibody test results. The 2012 meeting, picking up where the 2010 meeting left off, focused on scientific presentations that assessed this new algorithm and the role played by RNA testing and new developments in molecular diagnostics, including detection of total and integrated HIV-1 DNA, detection and quantification of HIV-2 RNA, and rapid formats for detection of HIV-1 RNA.

Active neutral particle diagnostics for high temperature plasma

International Nuclear Information System (INIS)

Tobita, Kenji

1993-01-01

This paper describes experimental studies related to active neutral particle diagnostics in the JT-60 tokamak. Detection efficiencies of a micro-channel plate (MCP), which has widely used in plasma diagnostics, were determined for ions and neutrals. Multi-step processes for a neutral beam is predicted to enhance the beam stopping cross section in a plasma. In order to confirm the predictions, shine-through for a hydrogen and for a helium beam was measured in the JT-60 ohmic plasmas. The measurements for a hydrogen beam resulted in the cross sectional enhancement in the beam stopping. The same experiment using a helium beam indicated that the cross sectional enhancement for helium was much smaller than that for hydrogen at almost same plasma parameters. Ion temperature diagnostic using active beam scattering was developed in data processing technique, in consideration of the device function of a neutral particle analyzer and in estimation of the effect of beam ion component. Fundamental experiments for detecting helium ions in a plasma were performed using two-electron transfer reaction between a helium atomic beam and helium ions, and the energy distribution and the density of the helium ions were determined. These experiments demonstrated promise of the two-electron transfer reaction as an alpha ash detection in a burning plasma. A parasitic neutral efflux accompanied by active beam injection was investigated. (J.P.N.)

Understanding the Influence of Environment on Adults’ Walking Experiences: A Meta-Synthesis Study

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Sara Dadpour

2016-07-01

Full Text Available The environment has an important impact on physical activity, especially walking. The relationship between the environment and walking is not the same as for other types of physical activity. This study seeks to comprehensively identify the environmental factors influencing walking and to show how those environmental factors impact on walking using the experiences of adults between the ages of 18 and 65. The current study is a meta-synthesis based on a systematic review. Seven databases of related disciplines were searched, including health, transportation, physical activity, architecture, and interdisciplinary databases. In addition to the databases, two journals were searched. Of the 11,777 papers identified, 10 met the eligibility criteria and quality for selection. Qualitative content analysis was used for analysis of the results. The four themes identified as influencing walking were “safety and security”, “environmental aesthetics”, “social relations”, and “convenience and efficiency”. “Convenience and efficiency” and “environmental aesthetics” could enhance the impact of “social relations” on walking in some aspects. In addition, “environmental aesthetics” and “social relations” could hinder the influence of “convenience and efficiency” on walking in some aspects. Given the results of the study, strategies are proposed to enhance the walking experience.

Study of influence of an experiment scale on cylinder test results

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Waldemar A. Trzciński

2014-03-01

Full Text Available In the work, influence of a scale of experiment on the results of cylindrical test used todetermine the acceleration capabilities of explosives was analyzed. Explosives used in ammunition(TNT, hexogen and explosives for civil purpose (ammonals were selected for testing. Copper tubeswith different diameters and wall thickness were used. Conclusions are drawn regarding the advisabilityof increasing or decreasing the scale of the cylinder test.[b]Keywords[/b]: explosives, acceleration ability, cylinder test

Investigation of relativistic laser-plasmas using nuclear diagnostics

International Nuclear Information System (INIS)

Guenther, Marc M.

2011-01-01

The present work explores with the development of a novel nuclear diagnostic method for the investigation of the electron dynamics in relativistic laser-plasma interactions. An additional aim of this work was the determination of the real laser peak intensity via the interaction of an intense laser short-pulse with a solid target. The nuclear diagnostics is based on a photo-neutron disintegration nuclear activation method. The main constituent of the nuclear diagnostic are novel pseudoalloic activation targets as a kind of calorimeter to measure the high-energy bremsstrahlung produced by relativistic electrons. The targets are composed of several stable isotopes with different (γ,xn)-reaction thresholds. The activated nuclides were identified via the characteristic gamma-ray decay spectrum by using high-resolution gamma spectroscopy after the laser irradiation. Via the gamma spectroscopy the (γ,xn)-reaction yields were determined. The high-energy bremsstrahlung spectrum has been deconvolved using a novel analysis method based on a modified Penfold-Leiss method. This facilitates the reconstruction of the spectrum of bremsstrahlung photons without any anticipated fit procedures. Furthermore, the characterization of the corresponding bremsstrahlung electrons in the interaction zone is accessible immediately. The consolidated findings about the properties of the relativistic electrons were used to determine the real peak intensity at the laser-plasma interaction zone. In the context of this work, experiments were performed at three different laser facilities. First Experiments were carried out at the 100 TW laser facility at Laboratoire pour l'Utilisation des Lasers Intense (LULI) in France and supplementary at the Vulcan laser facility at Rutherford Appleton Laboratory (RAL) in United Kingdom. The main part of the activation experiments were performed at the PHELIX laser facility (Petawatt High Energy Laser for heavy Ion EXperiments) at GSI-Helmholtzzentrum fuer

Diagnostic radiology on multiple injured patients: interdisciplinary management

International Nuclear Information System (INIS)

Linsenmaier, U.; Pfeifer, K.J.; Kanz, K.G.; Mutschler, W.

2001-01-01

The presence of a radiologist within the admitting area of an emergency department and his capability as a member of the trauma team have a major impact on the role of diagnostic radiology in trauma care. The knowledge of clinical decision criteria, algorithms, and standards of patient care are essential for the acceptance within a trauma team. We present an interdisciplinary management concept of diagnostic radiology for trauma patients, which comprises basic diagnosis, organ diagnosis, radiological ABC, and algorithms of early clinical care. It is the result of a prospective study comprising over 2000 documented multiple injured patients. The radiologist on a trauma team should support trauma surgery and anesthesia in diagnostic and clinical work-up. The radiological ABC provides a structured approach for diagnostic imaging in all steps of the early clinical care of the multiple injured patient. Radiological ABC requires a reevaluation in cases of equivocal findings or difficulties in the clinical course. Direct communication of radiological findings with the trauma team enables quick clinical decisions. In addition, the radiologist can priority-oriented influence the therapy by using interventional procedures. The clinical radiologist is an active member of the interdisciplinary trauma team, not only providing diagnostic imaging but also participating in clinical decisions. (orig.) [de

Diagnostic time in digital pathology: A comparative study on 400 cases

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Aleksandar Vodovnik

2016-01-01

, image size, number of cases, specimen type, network speed, and participant's level of confidence and experience in digital reporting. Further advancements in working stations and gained experience in digital reporting are expected to improve diagnostic time and widen routine applications of digital pathology.

Information Networks and Integration: Institutional Influences on Experiences and Persistence of Beginning Students

Science.gov (United States)

Karp, Melinda Mechur; Hughes, Katherine L.

2008-01-01

This article uses data from a qualitative exploratory study at two urban community colleges to examine experiences of beginning students, paying close attention to the influence that institutional information networks have on students' perceptions and persistence. The authors find that students' reported integration, or sense of belonging in the…

Diagnostic causal reasoning with verbal information.

Science.gov (United States)

Meder, Björn; Mayrhofer, Ralf

2017-08-01

In diagnostic causal reasoning, the goal is to infer the probability of causes from one or multiple observed effects. Typically, studies investigating such tasks provide subjects with precise quantitative information regarding the strength of the relations between causes and effects or sample data from which the relevant quantities can be learned. By contrast, we sought to examine people's inferences when causal information is communicated through qualitative, rather vague verbal expressions (e.g., "X occasionally causes A"). We conducted three experiments using a sequential diagnostic inference task, where multiple pieces of evidence were obtained one after the other. Quantitative predictions of different probabilistic models were derived using the numerical equivalents of the verbal terms, taken from an unrelated study with different subjects. We present a novel Bayesian model that allows for incorporating the temporal weighting of information in sequential diagnostic reasoning, which can be used to model both primacy and recency effects. On the basis of 19,848 judgments from 292 subjects, we found a remarkably close correspondence between the diagnostic inferences made by subjects who received only verbal information and those of a matched control group to whom information was presented numerically. Whether information was conveyed through verbal terms or numerical estimates, diagnostic judgments closely resembled the posterior probabilities entailed by the causes' prior probabilities and the effects' likelihoods. We observed interindividual differences regarding the temporal weighting of evidence in sequential diagnostic reasoning. Our work provides pathways for investigating judgment and decision making with verbal information within a computational modeling framework. Copyright © 2017 Elsevier Inc. All rights reserved.

Design of Diagnostics: Case Studies for Wendelstein 7-X

International Nuclear Information System (INIS)

Dreier, H.; Dinklage, A.; Fischer, R.; Hirsch, M.; Kornejew, P.; Pasch, E.

2005-01-01

The set of start-up diagnostics for Wendelstein 7-X is oriented to resolve physical issues of stellarator optimization [1]. The diagnostics philosophy of W7-X aims at extendable set-ups which are to be supplemented along the operation of the device. Planning diagnostics directly lead to the requirement to optimize their respective outcome. In many cases, the optimization is much restricted by technical constraints. But even in those cases, figures of robustness of the chosen design settings are beneficial for the diagnostic strategy. In this paper a framework for diagnostic design is presented employing the Bayesian probability theory. Part of the approach can be regarded as a virtual diagnostic, which describes the future experimental unit including its error statistics and is able to produce artificial data. The virtual diagnostic is fed with mock-up quantities of interest and hence it enables the designer to compare the outcome of the virtual diagnostic with its input. For the design of diagnostics in fusion experiments several figures of merit are possible, depend- ing on the optimization goal. Here physical questions like estimation of the density distribution or the density gradient are possible optimization targets as well as technical issues as the robustness of density measurements, e.g, for controlling purposes. Also the estimation of derived quantities - like gradients needed for modeling of the bootstrap current or of the radial electric field - might be considered to be the goal of a diagnostic design. (Author)

Target Diagnostic Instrument-Based Controls Framework for the National Ignition Facility

International Nuclear Information System (INIS)

Shelton, R; O'Brien, D; Nelson, J; Kamperschroer, J

2007-01-01

NIF target diagnostics are being developed to observe and measure the extreme physics of targets irradiated by the 192-beam laser. The response time of target materials can be on the order of 100ps--the time it takes light to travel 3 cm--temperatures more than 100 times hotter than the surface of the sun, and pressures that exceed 109 atmospheres. Optical and x-ray diagnostics were developed and fielded to observe and record the results of the first 4-beam experiments at NIF. Hard and soft x-ray spectra were measured, and time-integrated and gated x-ray images of hydrodynamics experiments were recorded. Optical diagnostics recorded backscatter from the target, and VISAR laser velocimetry measurements were taken of laser-shocked target surfaces. Additional diagnostics are being developed and commissioned to observe and diagnose ignition implosions, including various neutron and activation diagnostics. NIF's diagnostics are being developed at LLNL and with collaborators at other sites. To accommodate the growing number of target diagnostics, an Instrument-Based Controls hardware-software framework has been developed to facilitate development and ease integration into the NIF Integrated Computer Control System (ICCS). Individual WindowsXP PC controllers for each digitizer, power supply and camera (i.e., instruments) execute controls software unique to each instrument model. Each hardware-software controller manages a single instrument, in contrast to the complexity of combining all the controls software needed for a diagnostic into a single controller. Because of this simplification, controllers can be more easily tested on the actual hardware, evaluating all normal and off-normal conditions. Each target diagnostic is then supported by a number of instruments, each with its own hardware-software instrument-based controller. Advantages of the instrument-based control architecture and framework include reusability, testability, and improved reliability of the deployed

Target Diagnostic Instrument-Based Controls Framework for the National Ignition Facility

Energy Technology Data Exchange (ETDEWEB)

Shelton, R; O' Brien, D; Nelson, J; Kamperschroer, J

2007-05-07

NIF target diagnostics are being developed to observe and measure the extreme physics of targets irradiated by the 192-beam laser. The response time of target materials can be on the order of 100ps--the time it takes light to travel 3 cm--temperatures more than 100 times hotter than the surface of the sun, and pressures that exceed 109 atmospheres. Optical and x-ray diagnostics were developed and fielded to observe and record the results of the first 4-beam experiments at NIF. Hard and soft x-ray spectra were measured, and time-integrated and gated x-ray images of hydrodynamics experiments were recorded. Optical diagnostics recorded backscatter from the target, and VISAR laser velocimetry measurements were taken of laser-shocked target surfaces. Additional diagnostics are being developed and commissioned to observe and diagnose ignition implosions, including various neutron and activation diagnostics. NIF's diagnostics are being developed at LLNL and with collaborators at other sites. To accommodate the growing number of target diagnostics, an Instrument-Based Controls hardware-software framework has been developed to facilitate development and ease integration into the NIF Integrated Computer Control System (ICCS). Individual WindowsXP PC controllers for each digitizer, power supply and camera (i.e., instruments) execute controls software unique to each instrument model. Each hardware-software controller manages a single instrument, in contrast to the complexity of combining all the controls software needed for a diagnostic into a single controller. Because of this simplification, controllers can be more easily tested on the actual hardware, evaluating all normal and off-normal conditions. Each target diagnostic is then supported by a number of instruments, each with its own hardware-software instrument-based controller. Advantages of the instrument-based control architecture and framework include reusability, testability, and improved reliability of the

Update on the DIII-D ECH system: experiments, gyrotrons, advanced diagnostics, and controls

Directory of Open Access Journals (Sweden)

Lohr John

2017-01-01

Full Text Available The ECH system on DIII-D is continuing to be upgraded, while simultaneously being operated nearly daily for plasma experiments. The latest major hardware addition is a new 117.5 GHz gyrotron, which generated 1.7 MW for short pulses during factory testing. A new gyrotron control system based on Field Programmable Gate Array (FPGA technology with very high speed system data acquisition has significantly increased the flexibility and reliability of individual gyrotron operation. We have improved the performance of the fast mirror scanning, both by increasing the scan speeds and by adding new algorithms for controlling the aiming using commands generated by the Plasma Control System (PCS. The system is used for transport studies, ELM control, current profile control, non-inductive current generation, suppression of MHD modes, startup assist, plasma density control, and other applications. A program of protective measures, which has been in place for more than two years, has eliminated damage to hardware and diagnostics caused by overdense operation. Other activities not directly related to fusion research have used the ECH system to test components, study methods for improving production of semiconductor junctions and materials, and test the feasibility of using ground based microwave systems to power satellites into orbit.

Update on the DIII-D ECH system: experiments, gyrotrons, advanced diagnostics, and controls

Science.gov (United States)

Lohr, John; Brambila, Rigoberto; Cengher, Mirela; Gorelov, Yuri; Grosnickle, William; Moeller, Charles; Ponce, Dan; Torrezan, Antonio; Ives, Lawrence; Reed, Michael; Blank, Monica; Felch, Kevin; Parisuaña, Claudia; LeViness, Alexandra

2017-08-01

The ECH system on DIII-D is continuing to be upgraded, while simultaneously being operated nearly daily for plasma experiments. The latest major hardware addition is a new 117.5 GHz gyrotron, which generated 1.7 MW for short pulses during factory testing. A new gyrotron control system based on Field Programmable Gate Array (FPGA) technology with very high speed system data acquisition has significantly increased the flexibility and reliability of individual gyrotron operation. We have improved the performance of the fast mirror scanning, both by increasing the scan speeds and by adding new algorithms for controlling the aiming using commands generated by the Plasma Control System (PCS). The system is used for transport studies, ELM control, current profile control, non-inductive current generation, suppression of MHD modes, startup assist, plasma density control, and other applications. A program of protective measures, which has been in place for more than two years, has eliminated damage to hardware and diagnostics caused by overdense operation. Other activities not directly related to fusion research have used the ECH system to test components, study methods for improving production of semiconductor junctions and materials, and test the feasibility of using ground based microwave systems to power satellites into orbit.

The experience of the FERMI@Elettra photon beam transport and diagnostics system (PADReS) during three years of continuous support of machine and user experiments: achievements, lessons learned, and future upgrades

Science.gov (United States)

Zangrando, Marco; Fava, Claudio; Gerusina, Simone; Gobessi, Riccardo; Mahne, Nicola; Mazzucco, Eric; Raimondi, Lorenzo; Rumiz, Luca; Svetina, Cristian

2014-09-01

The FERMI FEL facility has begun delivering photons in 2011, becoming in late 2012 the first seeded facility open to external users worldwide. Since then, several tens of experiments have been carried out on the three operative endstations LDM, DiProI, and EIS-TIMEX. Starting from the commissioning phase, the transport and diagnostics system (PADReS) has been continuously developed and upgraded, becoming the indispensable interface between the machine and the experimental chambers. Moreover, PADReS itself has served as an active player for several machine studies as well as for various state-of-the-art experiments. In particular, some elements of PADReS have become key features to perform cutting edge experiments: the online energy spectrometer, the active optics refocusing systems, the split and delay line, and so on. For each of them the peculiar advantages will be described showing the actual implementation in the experiments. The experience gathered so far in fulfilling the needs of both machine and experimental physicists will be discussed, with particular emphasis on the solutions adopted in different scenarios. Recurrent requests and major difficulties will be reported so to give a glimpse about the standard tasks to be solved when preparing new and demanding experiments. Finally, some ideas and near-future improvements will be presented and discussed.

Initial experience with the Cardiva Boomerang vascular closure device in diagnostic catheterization.

Science.gov (United States)

Doyle, Brendan J; Godfrey, Michael J; Lennon, Ryan J; Ryan, James L; Bresnahan, John F; Rihal, Charanjit S; Ting, Henry H

2007-02-01

The authors studied the safety and efficacy of the Cardiva Boomerang vascular closure device in patients undergoing diagnostic cardiac catheterization. Conventional vascular closure devices (sutures, collagen plugs, or metal clips) have been associated with catastrophic complications including arterial occlusion and foreign body infections; furthermore, they cannot be utilized in patients with peripheral vascular disease or vascular access site in a vessel other than the common femoral artery. The Cardiva Boomerang device facilitates vascular hemostasis without leaving any foreign body behind at the access site, can be used in peripheral vascular disease, and can be used in vessels other than the common femoral artery A total of 96 patients undergoing transfemoral diagnostic cardiac catheterization were included in this study, including 25 (26%) patients with contraindications to conventional closure devices. Femoral angiography was performed prior to deployment of the Cardiva Boomerang closure device. Patients were ambulated at 1 hr after hemostasis was achieved. The device was successfully deployed and hemostasis achieved with the device alone in 95 (99%) patients. The device failed to deploy in 1 (1%) patient and required conversion to standard manual compression. Minor complications were observed in 5 (5%) patients. No patients experienced major complications including femoral hematoma > 4 cm, red blood cell transfusion, retroperitoneal bleed, arteriovenous fistula, pseudoaneurysm, infection, arterial occlusion, or vascular surgery. The Cardiva Boomerang device is safe and effective in patients undergoing diagnostic cardiac catheterization using the transfemoral approach, facilitating early ambulation with low rates of vascular complications. (c) 2006 Wiley-Liss, Inc.

Diagnostic systems developed in NPPRI (VUJE) Trnava Inc. for NPPs

International Nuclear Information System (INIS)

Kucharek, P.

1998-01-01

Since foundation of Nuclear Power Plant Research Institute (NPPRI) in 1977, the department of diagnostics has been dealt with problems related to the theoretical, practical and organizatory questions of operational diagnostics connected with PWR type nuclear components. This department acts directly in locality of NPP Jaslovske Bohunice, but there are performances for all NPP in Slovak or Czech Republic (Dukovany, Mochovce, and Temelin). Besides direct services and achievements for NPP there exist advisory, experts and research activities for the government and supervising authorities, too. In 1985, NPPRI began systematically construct and verify technical means for operational diagnostics of main circulating pumps (MCP) with good results, based on own rich practical experiences and contacts with organisations abroad. In recent years NPPRI as one of recognised qualified and authorised institutions in Slovak Republic has begun to develop a new generation of diagnostic systems for NPP on high technical level but with lower procuring costs in comparison with western countries products. This contribution deals with four following types of diagnostic systems which were not only developed but also delivered and installed on Slovak and Czech nuclear units: - Loose part monitoring system (LPMS), - Humidity monitoring system (HUMON), - Reactor coolant pumps monitoring system (RCPMS), - Primary circuit vibration monitoring system (VMS). Main features of new generation from middle of 1990's of these systems are described in this paper and operational experiences with them too. (author)

The use of MR in cardiological diagnostics

International Nuclear Information System (INIS)

Smith, Hans-Joergen

2004-01-01

Image diagnostics is playing an important role in cardiology, and magnetic resonance tomography (MR) is one of many methods used in examinations of the heart. Based on studies of the literature and his own experience the author surveys the potential of MR in today's and tomorrow's diagnostics of heart diseases. Among the image diagnostic methods MR is the one that can give the most extensive information about the heart's anatomy and function. In a non-invasive way and without the use of ionizing radiation, MR can represent the anatomy in selectable planes, visualize and quantify the heart's pumping function and functioning of the cardiac valves, and give detailed information about the regional contractility, blood flow and viability of myocard. MR is capable of giving important and to some extent unique contributions to heart diseases, both congenital and contracted heart disease. Because of failing availability and competence MR is still little used in cardiological diagnostics, but the method undoubtedly has the potential to play a very important role in the future

Exposure to Indian population from diagnostic radiology

International Nuclear Information System (INIS)

Supe, S.J.; Venkataraman, G.; Sasane, J.B.; Sawant, S.G.; Shirva, V.K.; Iyer, P.S.

1993-01-01

Many national and international agencies are actively engaged in taking stock of radiation safety status of radiation procedures which add to the population dose significantly. National survey is being conducted to collect data from various diagnostic X-ray institutions to assess radiation safety status and population dose arising from such practices in India. For this purpose 11 centres are collecting information on annual number of patients examined site wise and on their age and sex distribution. Patient doses are also measured for various diagnostic X-ray examinations in a few hospitals using CaSO 4 :Dy TLD dosimeters. Preliminary results of earlier study indicate that the country has about 50000 diagnostic X-ray units. The annual number of X-ray examinations is estimated to be 9x10 7 . Mean entrance skin dose for diagnostic X-rays are between 0.2 to 50 mGy depending on the type of examination. On the basis of experience gained in the earlier survey an exhaustive survey is undertaken for 1992-93 for improving the assessment of population dose. (author). 3 refs

Hepatic trauma: CT findings and considerations based on our experience in emergency diagnostic imaging

International Nuclear Information System (INIS)

Romano, Luigia; Giovine, Sabrina; Guidi, Guido; Tortora, Giovanni; Cinque, Teresa; Romano, Stefania

2004-01-01

and peritoneal fluid evaluation may be used to make a first differentiation of severity of lesions, but haemodynamic parameters may help the clinician to prefer a conservative treatment. In emergency based hospitals and also in our experience, positive benefits spring from diagnostic accuracy and consequent correct therapeutic management

Plenoptic Imaging for Three-Dimensional Particle Field Diagnostics.

Energy Technology Data Exchange (ETDEWEB)

Guildenbecher, Daniel Robert [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Hall, Elise Munz [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

2017-06-01

Plenoptic imaging is a promising emerging technology for single-camera, 3D diagnostics of particle fields. In this work, recent developments towards quantitative measurements of particle size, positions, and velocities are discussed. First, the technique is proven viable with measurements of the particle field generated by the impact of a water drop on a thin film of water. Next, well cont rolled experiments are used to verify diagnostic uncertainty. Finally, an example is presented of 3D plenoptic imaging of a laboratory scale, explosively generated fragment field.

Do indicators influence communication in SEA? — Experience from the Chinese practice

International Nuclear Information System (INIS)

Gao, Jingjing; Kørnøv, Lone; Christensen, Per

2013-01-01

Indicators have become one of the primary tools for Strategic Environmental Assessment (SEA) in the Chinese context, but what does this use of indicators mean for communication within the SEA processes? This article explores how the selection and use of indicators influence the communication between different stakeholders involved in SEA. The article provides a conceptual communication model covering directions and level of communication. Using this model on empirical findings from interviews with two specific SEA cases and from general experience collected through an online survey, the results suggest that indicators are used mainly in internal communication although a change of approach, with more external communication and stakeholder engagement, is taking place as a consequence of working with indicators in the SEA. However, the external communication mainly involves the experts and other relevant sectors (planning, energy, land use, forestry, etc.), the involvement of the public and NGOs is still not well implemented in Chinese SEA practice, and the direction of communication is mainly one-way channel of providing information rather than a two-way channel of dialogue and participation. Highlights: • Exploring indicators' influence on the communication in SEA with Chinese experience. • Providing a conceptual model covering directions and level of communication in SEA. • Empirical findings from two specific SEA cases and collected general experience. • The external communication mainly involves the experts and other sectors. • More one-way information provision than two-way dialogue and participation

Do indicators influence communication in SEA? — Experience from the Chinese practice

Energy Technology Data Exchange (ETDEWEB)

Gao, Jingjing, E-mail: jingjing@plan.aau.dk; Kørnøv, Lone, E-mail: lonek@plan.aau.dk; Christensen, Per, E-mail: pc@plan.aau.dk

2013-11-15

Indicators have become one of the primary tools for Strategic Environmental Assessment (SEA) in the Chinese context, but what does this use of indicators mean for communication within the SEA processes? This article explores how the selection and use of indicators influence the communication between different stakeholders involved in SEA. The article provides a conceptual communication model covering directions and level of communication. Using this model on empirical findings from interviews with two specific SEA cases and from general experience collected through an online survey, the results suggest that indicators are used mainly in internal communication although a change of approach, with more external communication and stakeholder engagement, is taking place as a consequence of working with indicators in the SEA. However, the external communication mainly involves the experts and other relevant sectors (planning, energy, land use, forestry, etc.), the involvement of the public and NGOs is still not well implemented in Chinese SEA practice, and the direction of communication is mainly one-way channel of providing information rather than a two-way channel of dialogue and participation. Highlights: • Exploring indicators' influence on the communication in SEA with Chinese experience. • Providing a conceptual model covering directions and level of communication in SEA. • Empirical findings from two specific SEA cases and collected general experience. • The external communication mainly involves the experts and other sectors. • More one-way information provision than two-way dialogue and participation.

The Influence of Professional Identity on Teaching Practice: Experiences of Four Music Educators

Science.gov (United States)

Carrillo, Carmen; Baguley, Margaret; Vilar, Mercè

2015-01-01

This study explores the influence of professional identity on the teaching practice of four school music educators, two from Spain and two from Australia. Narrative inquiry methodology was utilized in order to investigate the full spectrum of their musical experiences, ranging from their earliest childhood memories to their current positions in…

NIF diagnostic damage and design issues

International Nuclear Information System (INIS)

Landen, N.

1999-01-01

The NIF target environment is evaluated with respect to target and diagnostic debris and with respect to instrument survivability in the presence of target debris and radiation. Quantitative estimates are arrived at by extrapolating from Nova and Omega experience using simple scaling arguments. Specifically, we evaluate the closest distance of approach of various components of DIM-based diagnostics such as target mounted pinhole arrays, open detectors, filters, x-ray optics, and spectrometers. We also include constraints on achieving adequate signal-to-noise on x-ray diagnostics. Four of the most important conclusions are as follows: (1) The required full NIF stand-off distance for heavily filtered detectors (e.g. multi-keV x-ray and particle detectors) as determined by concerns of diagnostic debris and diagnostic survivability to debris and radiation is no more than 100 cm. (2) Target mounted pinhole arrays and slits mounted a few cm from chamber center at NIF will survive long enough to record data and should be an acceptable source of shrapnel debris. (3) DIM-based instrument stand-off distances are compatible with achieving the same photon statistics (or better with ongoing improvements in detector resolution and noise) than available with current Nova and Omega SIM- or TIM-based instrumentation. Section II reviews target and diagnostic debris with respect to final optics. Section III reviews debris and radiation with respect to all diagnostic components. The following laser scaling between Nova/Omega and NIF is used throughout unless otherwise specified: laser energy E = 100x, drive duration τ = 6x and hence for a given laser intensity or hohlraum temperature, target size r approximately √(E/τ) = 4x. The 100x increase in E accounts for the fact that many Nova shots were performed with only 20 kJ and all LLNL Omega shots were performed with only 15 kJ

Shiva optical diagnostics

International Nuclear Information System (INIS)

Rienecker, F.; Kobierecki, M.; Ozarski, R.; Seppala, L.; Manes, K.; Merritt, B.

1977-01-01

In the laser fusion program at Lawrence Livermore Laboratory, no target experiment is complete unless it is complemented by careful measurements of the laser pulse that irradiates the target. For this purpose, an incident beam diagnostics (IBD) package has been designed for the Shiva laser. The package will furnish data on items such as the total energy and the focusable energy out of the laser chain, and the spatial and temporal energy and power distribution at the target plane. Understanding laser-plasma interactions requires knowledge of the amount of 1.06 μm light energy that is scattered in various directions from the target. The light energy that is scattered toward the beam focusing lens is analyzed by a reflected beam diagnostic (RBD) package containing a calorimeter, a multiple image camera and a TV camera. This paper describes the detailed design and operation of the IBD and RBD packages as tools to align spatial filters and targets, as well as to diagnose the laser beams and target reflectivity

National NIF Diagnostic Program Fiscal Year 2002 Second Quarter Report

International Nuclear Information System (INIS)

MacGowan, B

2002-01-01

Since October 2001 the development of the facility diagnostics for NIF has been funded by the NIF Director through the National NIF Diagnostic Program (NNDP). The current emphasis of the NNDP is on diagnostics for the early NIF quad scheduled to be available for experiment commissioning in FY03. During the past six months the NNDP has set in place processes for funding diagnostics, developing requirements for diagnostics, design reviews and monthly status reporting. Those processes are described in an interim management plan for diagnostics (National NIF Diagnostic Program Interim Plan, NIF-008 13 15, April 2002) and a draft Program Execution Plan (Program Execution Plan for the National NlF Diagnostic Program, NIF-0072083, October 2001) and documents cited therein. Work has been funded at Lawrence Livermore National Laboratory (LLNL), Los Alamos National Laboratory (LANL), Naval Research Laboratory (NRL), Sandia National Laboratories (SNL), Bechtel Nevada at Los Alamos and Santa Barbara. There are no major technical risks with the early diagnostics. The main concerns relate to integration of the diagnostics into the facility, all such issues are being worked. This report is organized to show the schedule and budget status and a summary of Change Control Board actions for the past six months. The following sections then provide short descriptions of the status of each diagnostic. Where design reviews or requirements documents are cited, the documents are available on the Diagnostics file server or on request

Oviposition preference hierarchy in Ceratitis capitata (Diptera, Tephritidae): influence of female age and experience

OpenAIRE

Joachim-Bravo, Iara S.; Fernandes, Odair A.; Bortoli, Sérgio A.; Zucoloto, Fernando S.

2001-01-01

The influence of two factors, age and previous experience, on the oviposition hierarchy preference of Ceratitis capitata (Wiedemann, 1824) females was studied. Two populations were analyzed: one reared in laboratory during 17 years and the other captured in nature. In the first experiment the oviposition preference for four fruits, papaya, orange, banana and apple was tested at the beginning of oviposition period and 20 days past. The results showed that the wild females as much the laborator...

SPECIFICITY OF MANIFACTURING PROCESS VALIDATION FOR DIAGNOSTIC SEROLOGICAL DEVICES

Directory of Open Access Journals (Sweden)

O. Yu. Galkin

2018-02-01

Full Text Available The aim of this research was to analyze recent scientific literature, as well as national and international legislature on manifacturing process validation of biopharmaceutical production, in particular devices for serological diagnostics. Technology validation in the field of medical devices for serological diagnostics is most influenced by the Technical Regulation for Medical Devices for in vitro Diagnostics State Standards of Ukraine – SSU EN ISO 13485:2015 “Medical devices. Quality management system. Requirements for regulation”, SSU EN ISO 14971:2015 “Medical devices. Instructions for risk management”, Instruction ST-N of the Ministry of Healthcare of Ukraine 42-4.0:2014 “Medications. Suitable industrial practice”, State Pharmacopoeia of Ukraine and Instruction ICH Q9 on risk management. Current recommendations for validations of drugs manufacturing process, including biotechnological manufacturing, can not be directly applied to medical devices for in vitro diagnostics. It was shown that the specifics of application and raw materials require individual validation parameters and process validations for serological diagnostics devices. Critical parameters to consider in validation plans were provided for every typical stage of production of in vitro diagnostics devices on the example of immunoassay kits, such as obtaining protein antigens, including recombinant ones, preparations of mono- and polyclonal antibodies, immunoenzyme conjugates and immunosorbents, chemical reagents etc. The bottlenecks of technologies for in vitro diagnostics devices were analyzed from the bioethical and biosafety points of view.

How does additional diagnostic testing influence the initial diagnosis in patients with cognitive complaints in a memory clinic setting?

Science.gov (United States)

Meijs, Anouk P; Claassen, Jurgen A H R; Rikkert, Marcel G M Olde; Schalk, Bianca W M; Meulenbroek, Olga; Kessels, Roy P C; Melis, René J F

2015-01-01

patients suspected of dementia frequently undergo additional diagnostic testing (e.g. brain imaging or neuropsychological assessment) after standard clinical assessment at a memory clinic. This study investigates the use of additional testing in an academic outpatient memory clinic and how it influences the initial diagnosis. the initial diagnosis after standard clinical assessment (history, laboratory tests, cognitive screening and physical and neurological examination) and the final diagnosis after additional testing of 752 memory clinic patients were collected. We specifically registered if, and what type of, additional testing was requested. additional testing was performed in 518 patients (69%), 67% of whom underwent magnetic resonance imaging, 45% had neuropsychological assessment, 14% had cerebrospinal fluid analysis and 49% had (combinations of) other tests. This led to a modification of the initial diagnosis in 17% of the patients. The frequency of change was highest in patients with an initial non-Alzheimer's disease (AD) dementia diagnosis (54%, compared with 11 and 14% in patients with AD and 'no dementia'; P testing 44% was diagnosed with AD, 9% with non-AD dementia and 47% with 'no dementia'. additional testing should especially be considered in non-AD patients. In the large group of patients with an initial AD or 'no dementia' diagnosis, additional tests have little diagnostic impact and may perhaps be used with more restraint. © The Author 2014. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

GPs' perspectives on the diagnostic work-up in patients with shoulder pain: a qualitative study.

Science.gov (United States)

Ottenheijm, Ramon P G; Hesselmans, Nicolle J J M; Kemper, Anouk; Moser, Albine; de Bie, Rob A; Dinant, Geert-Jan; Cals, Jochen W L

2014-06-01

The diagnostic work-up of patients with shoulder pain in general practice is complex. General practitioners' (GPs) guidelines advise a pragmatic diagnostic work-up in which additional imaging has a limited role. However, diagnostic ultrasounds are increasingly ordered by GPs, which seems to reflect complexity in management of shoulder pain. This study aimed to explore GPs' perspectives on the diagnostic work-up of patients with shoulder pain. This study has a qualitative exploratory design with an inductive approach and was carried out in Dutch general practice. The study population consisted of 18 Dutch GPs who were sampled purposefully with a spread in clinical experience and ordering diagnostic ultrasound. Data were gathered by means of semi-structured interviews and analysed following principles of the constant comparative method. Three main categories with subcategories emerged that captured the diagnostic work-up of shoulder pain: variety in diagnostic classifications [(non-)specific diagnosis and interdisciplinary differences], establishing strategies for diagnostic work-up (use of existing tools and motives to deviate from existing tools), and strategies dealing with diagnostic uncertainties (accepting diagnostic uncertainties, diagnostic imaging tests, and interdisciplinary consultation and referral). Despite the availability of evidence-based shoulder guidelines, GPs experience uncertainties during diagnostic work-up and apply different strategies when dealing with these uncertainties. At some point, GPs as well as patients seem to have a need for a specific diagnosis. Currently, there appears to be little agreement if, or in which phase of shoulder pain, diagnostic ultrasound is useful or indicated. © 2014 John Wiley & Sons, Ltd.

How medical technologies shape the experience of illness.

Science.gov (United States)

Hofmann, Bjørn; Svenaeus, Fredrik

2018-02-03

In this article we explore how diagnostic and therapeutic technologies shape the lived experiences of illness for patients. By analysing a wide range of examples, we identify six ways that technology can (trans)form the experience of illness (and health). First, technology may create awareness of disease by revealing asymptomatic signs or markers (imaging techniques, blood tests). Second, the technology can reveal risk factors for developing diseases (e.g., high blood pressure or genetic tests that reveal risks of falling ill in the future). Third, the technology can affect and change an already present illness experience (e.g., the way blood sugar measurement affects the perceived symptoms of diabetes). Fourth, therapeutic technologies may redefine our experiences of a certain condition as diseased rather than unfortunate (e.g. assisted reproductive technologies or symptom based diagnoses in psychiatry). Fifth, technology influences illness experiences through altering social-cultural norms and values regarding various diagnoses. Sixth, technology influences and changes our experiences of being healthy in contrast and relation to being diseased and ill. This typology of how technology forms illness and related conditions calls for reflection regarding the phenomenology of technology and health. How are medical technologies and their outcomes perceived and understood by patients? The phenomenological way of approaching illness as a lived, bodily being-in-the-world is an important approach for better understanding and evaluating the effects that medical technologies may have on our health, not only in defining, diagnosing, or treating diseases, but also in making us feel more vulnerable and less healthy in different regards.

Fast infrared detectors for beam diagnostics with synchrotron radiation

International Nuclear Information System (INIS)

Bocci, A.; Marcelli, A.; Pace, E.; Drago, A.; Piccinini, M.; Cestelli Guidi, M.; De Sio, A.; Sali, D.; Morini, P.; Piotrowski, J.

2007-01-01

Beam diagnostic is a fundamental constituent of any particle accelerators either dedicated to high-energy physics or to synchrotron radiation experiments. All storage rings emit radiations. Actually they are high brilliant sources of radiation: the synchrotron radiation emission covers from the infrared range to the X-ray domain with a pulsed structure depending on the temporal characteristics of the stored beam. The time structure of the emitted radiation is extremely useful as a tool to perform time-resolved experiments. However, this radiation can be also used for beam diagnostic to determine the beam stability and to measure the dimensions of the e - or e + beam. Because of the temporal structure of the synchrotron radiation to perform diagnostic, we need very fast detectors. Indeed, the detectors required for the diagnostics of the stored particle bunches at third generation synchrotron radiation sources and FEL need response times in the sub-ns and even ps range. To resolve the bunch length and detect bunch instabilities, X-ray and visible photon detectors may be used achieving response times of a few picoseconds. Recently, photon uncooled infrared devices optimized for the mid-IR range realized with HgCdTe semiconductors allowed to obtain sub-nanosecond response times. These devices can be used for fast detection of intense IRSR sources and for beam diagnostic. We present here preliminary experimental data of the pulsed synchrotron radiation emission of DAΦNE, the electron positron collider of the LNF laboratory of the INFN, performed with new uncooled IR detectors with a time resolution of a few hundreds of picoseconds

Report on the diagnostics for control of the fusion DEMO reactors

International Nuclear Information System (INIS)

2014-05-01

The range of diagnostics that can be used in DEMO will be severely restricted compared to that used in the current experiments or to be used in ITER. Therefore, a study is planned on the technical feasibility of sensors and diagnostics on the basis of specific tokamak and helical DEMO designs, with the involvement of a wide range of specialists covering reactor design, diagnostics, neutronics, reactor structure, remote maintenance, plasma physics, plasma and machine control, and computer simulation. Topics included typical characteristic times of target plasma behavior, diagnostics tools with their resolution and lifetime, response time of actuators, and plasmas. Through these studies, possible candidates for DEMO diagnostics were identified. The outcome of two years of activities is summarized in this report with a recommendation to the government of Japan. (J.P.N.)

Meeting of the ITPA Topical Group on Diagnostics

International Nuclear Information System (INIS)

Costley, A.E.; Donne, A.J.H.

2002-01-01

The first meeting of the International Tokamak Physics Activities (ITPA) Topical Group (TG) on diagnostics was held at the Ioffe Physical-Technical institute, St. Petersburg, Russian Federation, on 14-16 November 2001. In total 38 participants attended the meeting and all four ITPA partners (EU, JA, RF and US) were represented. This summary covers mainly the discussions at the TG meeting. The meeting immediately followed a progress meeting, held in the same location on 12-13 November 2001, on the efforts carried out in the Russian Federation on diagnostics for ITER and burning plasma experiments

Conventional and molecular diagnostic strategies for prosthetic joint infections.

Science.gov (United States)

Esteban, Jaime; Sorlí, Luisa; Alentorn-Geli, Eduard; Puig, Lluís; Horcajada, Juan P

2014-01-01

An accurate diagnosis of prosthetic joint infection (PJI) is the mainstay for an optimized clinical management. This review analyzes different diagnostic strategies of PJI, with special emphasis on molecular diagnostic tools and their current and future applications. Until now, the culture of periprosthetic tissues has been considered the gold standard for the diagnosis of PJI. However, sonication of the implant increases the sensitivity of those cultures and is being increasingly adopted by many centers. Molecular diagnostic methods compared with intraoperative tissue culture, especially if combined with sonication, have a higher sensitivity, a faster turnaround time and are not influenced by previous antimicrobial therapy. However, they still lack a system for detection of antimicrobial susceptibility, which is crucial for an optimized and less toxic therapy of PJI. More studies are needed to assess the clinical value of these methods and their cost-effectiveness.

[Diagnostic imaging of breast cancer : An update].

Science.gov (United States)

Funke, M

2016-10-01

Advances in imaging of the female breast have substantially influenced the diagnosis and probably also the therapy and prognosis of breast cancer in the past few years. This article gives an overview of the most important imaging modalities in the diagnosis of breast cancer. Digital mammography is considered to be the gold standard for the early detection of breast cancer. Digital breast tomosynthesis can increase the diagnostic accuracy of mammography and is used for the assessment of equivocal or suspicious mammography findings. Other modalities, such as ultrasound and contrast-enhanced magnetic resonance imaging (MRI) play an important role in the diagnostics, staging and follow-up of breast cancer. Percutaneous needle biopsy is a rapid and minimally invasive method for the histological verification of breast cancer. New breast imaging modalities, such as contrast-enhanced spectral mammography, diffusion-weighted MRI and MR spectroscopy can possibly further improve breast cancer diagnostics; however, further studies are necessary to prove the advantages of these methods so that they cannot yet be recommended for routine clinical use.

A hierarchical model of virtual experience and its influences on the perceived value and loyalty of customers

NARCIS (Netherlands)

Piyathasanan, B; Mathies, C; Wetzels, M.G.M.; Patterson, P.; de Ruyter, J.C.

2015-01-01

Many businesses use virtual experience (VE) to enhance the overall customer experience, though extant research offers little guidance for how to improve consumers' VE. This study, anchored in activity theory, examines key drivers of VE and its influences on value perceptions and customer loyalty. A

Sixth meeting of the ITPA Topical Group on Diagnostics

International Nuclear Information System (INIS)

Donne, A.J.H.; Costley, A.E.

2004-01-01

The Sixth Meeting of the International Tokamak Physics Activities (ITPA) Topical Group (TG) on Diagnostics was held at JAERI, Naka from 19-21 February 2004. This meeting was combined with a Progress Meeting on ITER/BPX (burning plasma experiment) relevant diagnostic developments on-going in Japan. For the first time, ITPA members from China, as well as observers from South Korea, attended. In addition, an associated sub-meeting was held at General Atomics, San Diego, 23-24 April, immediately after the 15th Topical Conference on High Temperature Plasma Diagnostics. At the sub-meeting a special one-day session was devoted to issues related to beam-aided spectroscopy. In total more than 50 participants attended the meetings and all ITER partners were represented. The key topics reviewed and discussed at the TG meeting were: (i) the overall status of diagnostics developments for ITER, (ii) the progress in the research on the designated high priority topics, (iii) the progress with some key ITER/BPX-relevant diagnostic developments ongoing in the ITPA participant laboratories, (iv) the progress and plans for the work of the specialist working groups, (v) the status and plans for the International Diagnostic Database

The european approach to quality assurance in diagnostic radiology

International Nuclear Information System (INIS)

Benini, A.

1997-01-01

The european and increasingly the international organizations are emphasizing the importance of appropriate quality assurance programmes in diagnostic radiology. The European Directive (particularly the directive 84/466/EURATOM). the various publications of the International Commission for radiation protection (ICRP), related to protection of the patients and workers and the Basic Safety Standards of the International Atomic Energy Agency (IAEA) might be considered the landmarks of the new approach to the problems of dose reduction and quality in diagnostic radiology. In particular ICRP maintains a watching brief on all aspects related to radiation protection and makes recommendations concerning basic principles. Since ICRP 26 (1977), several ICRP publications have dealt with all the principal fields of diagnostic radiology. The IAEA has recently published the new Basic Safety Standards including guidance levels for the most common diagnostic investigations.Within the European countries the European Union and the European legislation have strong influence of the implementation of radiation protection and Q A at a national level. This has led to a substantial effort in the european countries to establish national standards and basic quality requirements. (author)

Diagnostic Technologies in Practice

Science.gov (United States)

Steinberg, Malcolm; Kwag, Michael; Chown, Sarah A.; Doupe, Glenn; Trussler, Terry; Rekart, Michael; Gilbert, Mark

2015-01-01

Diagnosing HIV-positive gay men through enhanced testing technologies that detect acute HIV infection (AHI) or recent HIV infection provides opportunities for individual and population health benefits. We recruited 25 men in British Columbia who received an acute (n = 13) or recent (n = 12) HIV diagnosis to engage in a longitudinal multiple-methods study over one year or longer. Our thematic analysis of baseline qualitative interviews revealed insights within men’s accounts of technologically mediated processes of HIV discovery and diagnosis. Our analysis illuminated the dialectic of new HIV technologies in practice by considering the relationship between advances in diagnostics (e.g., nucleic acid amplification tests) and the users of these medical technologies in clinical settings (e.g., clients and practitioners). Technological innovations and testing protocols have shifted experiences of learning of one’s HIV-positive status; these innovations have created new diagnostic categories that require successful interpretation and translation to be rendered meaningful, to alleviate uncertainty, and to support public health objectives. PMID:25201583

Effect of patient age awareness on diagnostic agreement of chronic or aggressive periodontitis between clinicians; a pilot study.

Science.gov (United States)

Oshman, Sarah; El Chaar, Edgard; Lee, Yoonjung Nicole; Engebretson, Steven

2016-07-25

The aim of this pilot study was to test whether diagnostic agreement of aggressive and chronic periodontitis amongst Board Certified Periodontists, is influenced by knowledge of a patient's age. In 1999 at the International World Workshop age was removed as a diagnostic criteria for aggressive periodontitis. The impact of this change on the diagnostic reliability amongst clinicians has not yet been assessed. Nine periodontal case reports were twice presented to sixteen board certified periodontists, once with age withheld and again with patient age provided. Participants were instructed to choose a diagnosis of Chronic Periodontitis or Aggressive Periodontitis. Diagnostic agreement was calculated using the Fleiss Kappa test. Including the patients' age in case report information increased diagnostic agreement (the kappa statistic) from 0.49 (moderate agreement) to 0.61 (substantial agreement). These results suggest that knowledge of a patients' age influenced clinical diagnosis, when distinguishing between aggressive periodontitis and chronic periodontitis, which may in turn impact treatment decision-making.

The psychological characteristics of experiences that influence science motivation and content knowledge

Science.gov (United States)

Bathgate, Meghan; Schunn, Christian

2017-11-01

While motivational changes towards science are common during adolescence, our work asks which perceived classroom experiences are most strongly related to these changes. Additionally, we examine which experiences are most strongly associated with learning classroom content. In particular, using self-reports from a sample of approximately 3000 middle school students, this study investigates the influence of perceived science classroom experiences, namely student engagement and perceived success, on motivational change (fascination, values, competency belief) and content knowledge. Controlling for demographic information, school effects, and initial levels of motivation and content knowledge, we find that dimensions of engagement (affect, behavioural/cognitive) and perceived success are differentially associated with changes in particular motivational constructs and learning. Affective engagement is positively associated with motivational outcomes and negatively associated with learning outcomes, behavioural-cognitive engagement is associated only with learning, and perceived success is related only to motivational outcomes. Theoretical and practical implications are discussed.

Pain during diagnostic hysteroscopy: what is the role of the cervical canal? A pilot study.

Science.gov (United States)

Mazzon, Ivan; Favilli, Alessandro; Horvath, Stefano; Grasso, Mario; Di Renzo, Gian Carlo; Laurenti, Elena; Bini, Vittorio; Gerli, Sandro

2014-12-01

To evaluate whether a correlation exists between the pain perceived during diagnostic anesthesia-free hysteroscopy and the characteristics of the cervical canal. Prospective observational pilot study of 255 women undergoing diagnostic hysteroscopy. Data analysis included characteristics of the patient and the cervical canal, and the pain experience during the procedure, assessed by visual analog score (VAS). A multiple logistic regression was then carried out in order to exclude confounding factors. The degree of pain during hysteroscopy was equal to a median VAS score of 2 (range 0-10). Bivariate analysis between patients with VAS>3 and patients with VAS≤3 demonstrated a significant correlation between pain and the presence of synechiae in the cervical canal (P=0.022), the patient's age (P=0.003) and parity (P=0.001). Multivariate analysis revealed that the presence of cervical synechiae (P=0.0001) [OR=4.99 (95% CI 2.13-11.70)] and parity (P=0.014) [OR=0.42 (95% CI 0.21-0.83)] were significantly correlated with pain. There was no significant correlation with the different angles of the cervical canal. Cervical synechiae appear as a major factor influencing pain during hysteroscopy. While parity acts as a protective factor, the angle of the cervical canal does not seem to play an important role for pain during diagnostic hysteroscopy. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Experience in the diagnostic and surgical treatment of pancreatic pseudocysts

Directory of Open Access Journals (Sweden)

N. G. Golovko

2015-10-01

Full Text Available Actuality. Problem of surgical treatment of pancreatic pseudocysts is actual and debatable. The incidence of pancreatic pseudocysts is 0.5–1 per 100 000 adults per year, and in the overall incidence it reaches 1.6% –4.5%. Aim. Surgical treatment results of 34 patients with pancreatic pseudocysts were analyzed to improve results of diagnostic and surgical management of pancreatic pseudocests. Methods and results. Ultrasound scan combined with computer tomography were used for pancreatic pseudocysts diagnostic. Pancreatic pseudocysts surgical treatment was performed by minimally invasive percutaneous techniques and laparotomic surgery. Laparotomy operations were performed in 27 patients. The structure of operations was follow: external drainage of pseudocysts - 11 patients, 2 of them by minilaparotomy access, pseudocyst jejunostomy by Roux – 9 patients, pseudocyst jejunostomy with entero-enteroanastamosis by Brown – 3 patients, pseudocyst gastrostomy and pseudocyst duodenostomy – in 2 patients. Percutaneous external drainage of pancreatic pseudocysts under ultrasound control was performed in 7 patients. Indications for external percutaneous needle drainage of pancreatic pseudocysts under ultrasound control were: presence of a secure acoustic windows, lack of communication with the pancreatic pseudocysts ductal system, pseudocyst cavity diameter greater than 60 mm with wall thickness more than 3–4 mm, presence of the severe comorbidity and high operational and anesthetic risk (III–IV class ASA. Conclusions. Analysis of early treatment results (3–6 months found that pancreatic pseudocysts minimally invasive percutaneous puncture external drainage use in combination with ultrasound control, in addition to laparotomic operation, allows to achieve excellent and good results in 91.1% of patients.

Influence of Ethnic-Related Diversity Experiences on Intercultural Sensitivity of Students at a Public University in Malaysia

Science.gov (United States)

Tamam, Ezhar; Abdullah, Ain Nadzimah

2012-01-01

In this study, the authors examine the influence of ethnic-related diversity experiences on intercultural sensitivity among Malaysian students at a multiethnic, multicultural and multilingual Malaysian public university. Results reveal a significant differential level of ethnic-related diversity experiences (but not at the level of intercultural…

INFLUENCE OF SUBJECTIVE EXERCISE EXPERIENCE ON RECREATIONAL EXERCISING

Directory of Open Access Journals (Sweden)

Dražen Čular

2012-09-01

Full Text Available Effects of physical activity on psychological health and well-being have been intrigued topic for many researches (McAuley & Courneya, 1994. Also, the positive subjective experience lies in the basis of every successful recreational activity and training. However, the influence of different types of activities and their gender specifics regarding self-reported well-being have not yet been investigated. The aims of this study were: (1 to analyse gender differences before and after physical activity in “Subjective Exercise Experience Scale“(SEES in group of subjects involved in aesthetic and non-aesthetic recreational physical activities and (2 to determine differences between subjects involved in aesthetic and non-aesthetic recreational physical activities before and after the activity for female and male group separately. The SEES was used to assess psychological responses to exercise among female (N=32 and male (N=83 recreational athletes. The 12 items of SEES represented three-aspects of exercise experience: Positive Well-Being, Psychological Distress and Fatigue. The results showed significant gender differences only in non-aesthetic group before and after physical activity in Psychological Distress subscale. Female students (Mean=4.8 had lower values of Psychological Distress than Male students (Mean=6.9. Furthermore, female aesthetic group (Mean=24.4 had significantly higher values in Positive Well-Being subscale after physical activity than female nonaesthetic group (Mean=18.8, while male aesthetic group had significantly higher values in Positive Well-Being subscale before and after physical activity than male non-aesthetic group. It is possible to conclude that aesthetic activities have positive effect on both female and male sample. It is possible that music increased emotionally experienced activity and contributed to better physical well being especially among female recreational athletes.

Plasma diagnostic development and UHV testing for the ALPHA collaboration at Marquette University

Science.gov (United States)

Tharp, T. D.; Alpha Collaboration

2017-10-01

At Marquette, we are developing the next generation of nonneutral plasma diagnostics for the ALPHA experiment at CERN. ALPHA is building a new vertical experiment to test the gravitational interaction of antihydrogen with Earth. This expansion requires significant changes to the design of our plasma diagnostic suites: the next generation of tools must be able to measure plasmas from two directions, and must be capable of operating in a horizontal position. The diagnostic suite includes measurements of plasma density, shape, and temperature. The hardware used includes a MicroChannel Plate (MCP), a Faraday Cup, and an electron gun. In addition, we are building a vacuum chamber to test the viability of 3-d printed components for UHV compatibility, with target pressures of 10-10 mbar.

Method matters: Understanding diagnostic reliability in DSM-IV and DSM-5.

Science.gov (United States)

Chmielewski, Michael; Clark, Lee Anna; Bagby, R Michael; Watson, David

2015-08-01

Diagnostic reliability is essential for the science and practice of psychology, in part because reliability is necessary for validity. Recently, the DSM-5 field trials documented lower diagnostic reliability than past field trials and the general research literature, resulting in substantial criticism of the DSM-5 diagnostic criteria. Rather than indicating specific problems with DSM-5, however, the field trials may have revealed long-standing diagnostic issues that have been hidden due to a reliance on audio/video recordings for estimating reliability. We estimated the reliability of DSM-IV diagnoses using both the standard audio-recording method and the test-retest method used in the DSM-5 field trials, in which different clinicians conduct separate interviews. Psychiatric patients (N = 339) were diagnosed using the SCID-I/P; 218 were diagnosed a second time by an independent interviewer. Diagnostic reliability using the audio-recording method (N = 49) was "good" to "excellent" (M κ = .80) and comparable to the DSM-IV field trials estimates. Reliability using the test-retest method (N = 218) was "poor" to "fair" (M κ = .47) and similar to DSM-5 field-trials' estimates. Despite low test-retest diagnostic reliability, self-reported symptoms were highly stable. Moreover, there was no association between change in self-report and change in diagnostic status. These results demonstrate the influence of method on estimates of diagnostic reliability. (c) 2015 APA, all rights reserved).

CT-guided core needle biopsy of pleural lesions: Evaluating diagnostic yield and associated complications

International Nuclear Information System (INIS)

Niu, Xiang Ke; Bhetuwal, Anup; Yang, Han Feng

2015-01-01

The purpose of this study was to retrospectively evaluate the diagnostic accuracy and complications of CT-guided core needle biopsy (CT-guided CNB) of pleural lesion and the possible effects of influencing factors. From September 2007 to June 2013, 88 consecutive patients (60 men and 28 women; mean [+/- standard deviation] age, 51.1 +/- 14.4 years; range, 19-78 years) underwent CT-guided CNB, which was performed by two experienced chest radiologists in our medical center. Out of 88 cases, 56 (63%) were diagnosed as malignant, 28 (31%) as benign and 4 (5%) as indeterminate for CNB of pleural lesions. The final diagnosis was confirmed by either histopathological diagnosis or clinical follow-up. The diagnostic accuracy, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and complication rates were statistically evaluated. Influencing factors (patient age, sex, lesion size, pleural-puncture angle, patient position, pleural effusion, and number of pleural punctures) were assessed for their effect on accuracy of CT-guided CNB using univariate and subsequent multivariate analysis. Diagnostic accuracy, sensitivity, specificity, PPV, and NPV were 89.2%, 86.1%, 100%, 100%, and 67.8%, respectively. The influencing factors had no significant effect in altering diagnostic accuracy. As far as complications were concerned, occurrence of pneumothorax was observed in 14 (16%) out of 88 patients. Multivariate analysis revealed lesion size/pleural thickening as a significant risk factor (odds ratio [OR]: 8.744, p = 0.005) for occurrence of pneumothorax. Moreover, presence of pleural effusion was noted as a significant protective factor (OR: 0.171, p = 0.037) for pneumothorax. CT-guided CNB of pleural lesion is a safe procedure with high diagnostic yield and low risk of significant complications.

CT-guided core needle biopsy of pleural lesions: Evaluating diagnostic yield and associated complications

Energy Technology Data Exchange (ETDEWEB)

Niu, Xiang Ke [Dept. of Radiology, Affiliated Hospital of Chengdu University, Chengdu (China); Bhetuwal, Anup; Yang, Han Feng [Dept. of Radiology, Sichuan Key Laboratory of Medical Imaging, Affiliated Hospital of North Sichuan Medical College, Nanchong (China)

2015-02-15

The purpose of this study was to retrospectively evaluate the diagnostic accuracy and complications of CT-guided core needle biopsy (CT-guided CNB) of pleural lesion and the possible effects of influencing factors. From September 2007 to June 2013, 88 consecutive patients (60 men and 28 women; mean [+/- standard deviation] age, 51.1 +/- 14.4 years; range, 19-78 years) underwent CT-guided CNB, which was performed by two experienced chest radiologists in our medical center. Out of 88 cases, 56 (63%) were diagnosed as malignant, 28 (31%) as benign and 4 (5%) as indeterminate for CNB of pleural lesions. The final diagnosis was confirmed by either histopathological diagnosis or clinical follow-up. The diagnostic accuracy, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and complication rates were statistically evaluated. Influencing factors (patient age, sex, lesion size, pleural-puncture angle, patient position, pleural effusion, and number of pleural punctures) were assessed for their effect on accuracy of CT-guided CNB using univariate and subsequent multivariate analysis. Diagnostic accuracy, sensitivity, specificity, PPV, and NPV were 89.2%, 86.1%, 100%, 100%, and 67.8%, respectively. The influencing factors had no significant effect in altering diagnostic accuracy. As far as complications were concerned, occurrence of pneumothorax was observed in 14 (16%) out of 88 patients. Multivariate analysis revealed lesion size/pleural thickening as a significant risk factor (odds ratio [OR]: 8.744, p = 0.005) for occurrence of pneumothorax. Moreover, presence of pleural effusion was noted as a significant protective factor (OR: 0.171, p = 0.037) for pneumothorax. CT-guided CNB of pleural lesion is a safe procedure with high diagnostic yield and low risk of significant complications.

[The experience of implementation of system of quality management in the Department of Laboratory Diagnostic of the N.V. Sklifosofskiy Research Institute of Emergency Care of Moscow Health Department: a lecture].

Science.gov (United States)

Zenina, L P; Godkov, M A

2013-08-01

The article presents the experience of implementation of system of quality management into the practice of multi-field laboratory of emergency medical care hospital. The analysis of laboratory errors is applied and the modes of their prevention are demonstrated. The ratings of department of laboratory diagnostic of the N. V. Sklifosofskiy research institute of emergency care in the program EQAS (USA) Monthly Clinical Chemistry from 2007 are presented. The implementation of the system of quality management of laboratory analysis into department of laboratory diagnostic made it possible to support physicians of clinical departments with reliable information. The confidence of clinicians to received results increased. The effectiveness of laboratory diagnostic increased due to lowering costs of analysis without negative impact to quality of curative process.

Assessing the Motivators and Barriers Influencing Undergraduate Students' Choices to Participate in International Experiences

Science.gov (United States)

Bunch, J.C.; Lamm, Alexa J.; Israel, Glenn D.; Edwards, M. Craig

2013-01-01

International experiences (IEs) are becoming one of the most critical elements of an undergraduate student's education to address the knowledge needed to become globally competent. However, student enrollment in IEs has been limited. Agricultural educators can more easily influence students' decisions regarding participation in IEs if they…

Three-dimensional imaging of acetabular dysplasia: diagnostic value and impact on surgical type classification

Energy Technology Data Exchange (ETDEWEB)

Smet, Maria-Helena E-mail: marleen.smet@uz.kuleuven.ac.be; Marchal, Guy J.; Baert, Albert L.; Hoe, Lieven van; Cleynenbreugel, Johan van; Daniels, Hans; Molenaers, Guy; Moens, Pierre; Fabry, Guy

2000-04-01

Objective: To investigate the diagnostic value and the impact on surgical type classification of three-dimensional (3D) images for pre-surgical evaluation of dysplastic hips. Materials and methods: Three children with a different surgical type of hip dysplasia were investigated with helical computed tomography. For each patient, two-dimensional (2D) images, 3D, and a stereolithographic model of the dysplastic hip were generated. In two separate sessions, 40 medical observers independently analyzed the 2D images (session 1), the 2D and 3D images (session 2), and tried to identify the corresponding stereolithographic hip model. The influence of both image presentation (2D versus 3D images) and observer (degree of experience, radiologist versus orthopedic surgeon) were statistically analyzed. The SL model choice reflected the impact on surgical type classification. Results: Image presentation was a significant factor whereas the individual observer was not. Three-dimensional images scored significantly better than 2D images (P=0.0003). Three-dimensional imaging increased the correct surgical type classification by 35%. Conclusion: Three-dimensional images significantly improve the pre-surgical diagnostic assessment and surgical type classification of dysplastic hips.

Three-dimensional imaging of acetabular dysplasia: diagnostic value and impact on surgical type classification

International Nuclear Information System (INIS)

Smet, Maria-Helena; Marchal, Guy J.; Baert, Albert L.; Hoe, Lieven van; Cleynenbreugel, Johan van; Daniels, Hans; Molenaers, Guy; Moens, Pierre; Fabry, Guy

2000-01-01

Objective: To investigate the diagnostic value and the impact on surgical type classification of three-dimensional (3D) images for pre-surgical evaluation of dysplastic hips. Materials and methods: Three children with a different surgical type of hip dysplasia were investigated with helical computed tomography. For each patient, two-dimensional (2D) images, 3D, and a stereolithographic model of the dysplastic hip were generated. In two separate sessions, 40 medical observers independently analyzed the 2D images (session 1), the 2D and 3D images (session 2), and tried to identify the corresponding stereolithographic hip model. The influence of both image presentation (2D versus 3D images) and observer (degree of experience, radiologist versus orthopedic surgeon) were statistically analyzed. The SL model choice reflected the impact on surgical type classification. Results: Image presentation was a significant factor whereas the individual observer was not. Three-dimensional images scored significantly better than 2D images (P=0.0003). Three-dimensional imaging increased the correct surgical type classification by 35%. Conclusion: Three-dimensional images significantly improve the pre-surgical diagnostic assessment and surgical type classification of dysplastic hips

Diagnostic Strategy in APR1400

International Nuclear Information System (INIS)

Kim, Dongyoung; Kim, Jonghyun

2013-01-01

These features may bring out changes in operator tasks, changing the characteristics of tasks, or creating new tasks. Diagnostic strategy for identifying anomaly may be different especially in APR1400 from that in the analog control room due to the change of human-system interface, i.e. alarm system and display system. Since the first plant of APR1400 is being built at this moment, it is not known what strategies the operators will adopt in diagnosis tasks in the new operating environment. In this light, this paper aims at investigating operator's diagnostic strategies which are appropriate for APR1400. In order to collect data, several different approaches which are complementary are used to identify diagnostic strategies in the digital control room: analysis on audio/video recording of operation, observation in the simulator, and interview with the operators. The result shows that the digital control room introduces new strategies in the diagnosis, compared with the analog control room, and also changed the characteristics of strategies, mostly, by getting more support from the computerized system. This paper investigated how the digitalized control room may influence operator's diagnostic strategies. Several different approaches, i. e., audio/video record, observation of training, and the interview with operators, were used to gather information about the operator's behaviors. As a conclusion, this paper figured out that the digital control room introduces new strategies in the diagnosis, compared with the analog control room, and also changed the characteristics of the strategies, mostly, by getting more support from the computerized system. The operators interviewed also commented that the diagnosis in the APR1400 is quicker, more correct, and easier, compared with the analog control room

Standardization of diagnostic PCR for the detection of foodborne pathogens

DEFF Research Database (Denmark)

Malorny, B.; Tassios, P.T.; Radstrom, P.

2003-01-01

In vitro amplification of nucleic acids using the polymerase chain reaction (PCR) has become, since its discovery in the 1980s, a powerful diagnostic tool for the analysis of microbial infections as well as for the analysis of microorganisms in food samples. However, despite its potential, PCR has...... neither gained wide acceptance in routine diagnostics nor been widely incorporated in standardized methods. Lack of validation and standard protocols, as well as variable quality of reagents and equipment, influence the efficient dissemination of PCR methodology from expert research laboratories to end......-user laboratories. Moreover, the food industry understandably requires and expects officially approved standards. Recognizing this, in 1999, the European Commission approved the research project, FOOD-PCR (http://www.PCR.dk), which aims to validate and standardize the use of diagnostic PCR for the detection...

[Pedophilia. Prevalence, etiology, and diagnostics].

Science.gov (United States)

Mokros, A; Osterheider, M; Nitschke, J

2012-03-01

Pedophilia is a disorder of sexual preference that increases the risk for committing sexual offenses against children. Consequently, pedophilia is not only relevant in psychiatric therapy and prognostics, but also greatly influences the public attitude towards criminality. Public opinion seems to equate pedophilia with child sexual abuse and vice versa which leads to stigmatization of patients and may impede treatment. The present paper provides information on recent studies on the potential origins of the disorder and introduces new diagnostic methods. Moreover, the article presents estimates on the prevalence of pedophilic sexual interest.

Early experiences on the feasibility, acceptability, and use of malaria rapid diagnostic tests at peripheral health centres in Uganda-insights into some barriers and facilitators

Directory of Open Access Journals (Sweden)

Asiimwe Caroline

2012-01-01

Full Text Available Abstract Background While feasibility of new health technologies in well-resourced healthcare settings is extensively documented, it is largely unknown in low-resourced settings. Uganda's decision to deploy and scale up malaria rapid diagnostic tests (mRDTs in public health facilities and at the community level provides a useful entry point for documenting field experience, acceptance, and predictive variables for technology acceptance and use. These findings are important in informing implementation of new health technologies, plans, and budgets in low-resourced national disease control programmes. Methods A cross-sectional qualitative descriptive study at 21 health centres in Uganda was undertaken in 2007 to elucidate the barriers and facilitators in the introduction of mRDTs as a new diagnostic technology at lower-level health facilities. Pre-tested interview questionnaires were administered through pre-structured patient exit interviews and semi-structured health worker interviews to gain an understanding of the response to this implementation. A conceptual framework on technology acceptance and use was adapted for this study and used to prepare the questionnaires. Thematic analysis was used to generate themes from the data. Results A total of 52 of 57 health workers (92% reported a belief that a positive mRDT result was true, although only 41 of 57 (64% believed that treatment with anti-malarials was justified for every positive mRDT case. Of the same health workers, only 49% believed that a negative mRDT result was truly negative. Factors linked to these findings were related to mRDT acceptance and use, including the design and characteristics of the device, availability and quality of mRDT ancillary supplies, health worker capacity to investigate febrile cases testing negative with the device and provide appropriate treatment, availability of effective malaria treatments, reliability of the health commodity supply chain, existing national

[Molecular and immunohistochemical diagnostics in melanoma].

Science.gov (United States)

Schilling, B; Griewank, K G

2016-07-01

To provide appropriate therapy and follow-up to patients with malignant melanoma, proper diagnostics are of critical importance. Targeted therapy of advanced melanoma is based on the molecular genetic analyses of tumor tissue. In addition, sequencing of genes and other genetic approaches can provide insight into the origin of melanocytic tumors and can aid in distinguishing benign from malignant lesions. In this regard, spizoid neoplasms remain a challenging entity. Aside from genetic analyses of tumor tissue, immunohistochemistry remains an essential tool in melanoma diagnostics and TNM classification. With new immunotherapies being approved for advanced melanoma, immunohistochemistry to determine PD-L1 expression has gained clinical interest. While PD-L1 expression is associated with response to PD-1 blockade, a substantial number of patients without PD-L1 expression can still experience tumor remission upon treatment. In this review, current and future developments in melanoma diagnostics with regard to molecular genetics and immunohistochemistry are summarized. The utilization of such analyses in clinical decision making is also discussed.

Scrutinized with inadequate control and support: Interns' experiences communicating with and writing referrals to hospital radiology departments – A qualitative study

International Nuclear Information System (INIS)

Kruse, J.; Lehto, N.; Riklund, K.; Tegner, Y.; Engström, Å.

2016-01-01

Introduction: Interns' experiences communicating with and writing referrals to hospital radiology departments are important for patient safety, image quality, and decision-making in the diagnostic process. Understanding roles within the department and in the diagnostic process is important for communication. This study aimed to describe interns' experiences communicating with and writing referrals to their hospital's radiology department. Method: A qualitative study design was used. Data was collected from focus discussions with ten interns in three focus groups in Northern Sweden during 2012. The data were subjected to qualitative content analysis. Results: One theme, “a feeling of being scrutinized and lacking control”, was identified in the final categories. The interns experienced that the radiology department placed high demands on them and desired more diagnostic skills training, resources and feedback. The interns suggested the following improvements: enhanced dialogue and feedback, improved education, handy guidelines, and practice writing referrals. Conclusion: Interns need more feedback from, and dialogue with, members of the Department of Radiology. They also need more knowledge of referral guidelines, appropriateness criteria and more practice to develop their knowledge and skill for writing referrals. They describe feelings of inadequate support and feel scrutinized in demanding work conditions and need more collaboration. They also need more time and more control of radiology outcomes, and they are eager to learn. - Highlights: • Interns' experiences of writing referrals are important in the diagnostic process. • Communication between referents and radiology staff influences patient safety. • Medical interns experience insufficient diagnostic skills. • Interns need more feedback from, and dialogue with radiology staff. • The learning process could benefit from knowledge of the referrers perspective.

Modelling of JET diagnostics using Bayesian Graphical Models

Energy Technology Data Exchange (ETDEWEB)

Svensson, J. [IPP Greifswald, Greifswald (Germany); Ford, O. [Imperial College, London (United Kingdom); McDonald, D.; Hole, M.; Nessi, G. von; Meakins, A.; Brix, M.; Thomsen, H.; Werner, A.; Sirinelli, A.

2011-07-01

The mapping between physics parameters (such as densities, currents, flows, temperatures etc) defining the plasma 'state' under a given model and the raw observations of each plasma diagnostic will 1) depend on the particular physics model used, 2) is inherently probabilistic, from uncertainties on both observations and instrumental aspects of the mapping, such as calibrations, instrument functions etc. A flexible and principled way of modelling such interconnected probabilistic systems is through so called Bayesian graphical models. Being an amalgam between graph theory and probability theory, Bayesian graphical models can simulate the complex interconnections between physics models and diagnostic observations from multiple heterogeneous diagnostic systems, making it relatively easy to optimally combine the observations from multiple diagnostics for joint inference on parameters of the underlying physics model, which in itself can be represented as part of the graph. At JET about 10 diagnostic systems have to date been modelled in this way, and has lead to a number of new results, including: the reconstruction of the flux surface topology and q-profiles without any specific equilibrium assumption, using information from a number of different diagnostic systems; profile inversions taking into account the uncertainties in the flux surface positions and a substantial increase in accuracy of JET electron density and temperature profiles, including improved pedestal resolution, through the joint analysis of three diagnostic systems. It is believed that the Bayesian graph approach could potentially be utilised for very large sets of diagnostics, providing a generic data analysis framework for nuclear fusion experiments, that would be able to optimally utilize the information from multiple diagnostics simultaneously, and where the explicit graph representation of the connections to underlying physics models could be used for sophisticated model testing. This

Application Of The CSRL Language To The Design Of Diagnostic Expert Systems: The Moodis Experience, A Preliminary Report

Science.gov (United States)

Bravos, Angelo; Hill, Howard; Choca, James; Bresolin, Linda B.; Bresolin, Michael J.

1986-03-01

Computer technology is rapidly becoming an inseparable part of many health science specialties. Recently, a new area of computer technology, namely Artificial Intelligence, has been applied toward assisting the medical experts in their diagnostic and therapeutic decision making process. MOODIS is an experimental diagnostic expert system which assists Psychiatry specialists in diagnosing human Mood Disorders, better known as Affective Disorders. Its diagnostic methodology is patterned after MDX, a diagnostic expert system developed at LAIR (Laboratory for Artificial Intelligence Research) of Ohio State University. MOODIS is implemented in CSRL (Conceptual Structures Representation Language) also developed at LAIR. This paper describes MOODIS in terms of conceptualization and requirements, and discusses why the MDX approach and CSRL were chosen.

Communicating diagnostic uncertainty in surgical pathology reports: disparities between sender and receiver.

Science.gov (United States)

Lindley, Sarah W; Gillies, Elizabeth M; Hassell, Lewis A

2014-10-01

Surgical pathologists use a variety of phrases to communicate varying degrees of diagnostic certainty which have the potential to be interpreted differently than intended. This study sought to: (1) assess the setting, varieties and frequency of use of phrases of diagnostic uncertainty in the diagnostic line of surgical pathology reports, (2) evaluate use of uncertainty expressions by experience and gender, (3) determine how these phrases are interpreted by clinicians and pathologists, and (4) assess solutions to this communication problem. We evaluated 1500 surgical pathology reports to determine frequency of use of uncertainty terms, identified those most commonly used, and looked for variations in usage rates on the basis of case type, experience and gender. We surveyed 76 physicians at tumor boards who were asked to assign a percentage of certainty to diagnoses containing expressions of uncertainty. We found expressions of uncertainty in 35% of diagnostic reports, with no statistically significant difference in usage based on age or gender. We found wide variation in the percentage of certainty clinicians assigned to the phrases studied. We conclude that non-standardized language used in the communication of diagnostic uncertainty is a significant source of miscommunication, both amongst pathologists and between pathologists and clinicians. Copyright © 2014 The Authors. Published by Elsevier GmbH.. All rights reserved.

A national physician survey of diagnostic error in paediatrics.

Science.gov (United States)

Perrem, Lucy M; Fanshawe, Thomas R; Sharif, Farhana; Plüddemann, Annette; O'Neill, Michael B

2016-10-01

This cross-sectional survey explored paediatric physician perspectives regarding diagnostic errors. All paediatric consultants and specialist registrars in Ireland were invited to participate in this anonymous online survey. The response rate for the study was 54 % (n = 127). Respondents had a median of 9-year clinical experience (interquartile range (IQR) 4-20 years). A diagnostic error was reported at least monthly by 19 (15.0 %) respondents. Consultants reported significantly less diagnostic errors compared to trainees (p value = 0.01). Cognitive error was the top-ranked contributing factor to diagnostic error, with incomplete history and examination considered to be the principal cognitive error. Seeking a second opinion and close follow-up of patients to ensure that the diagnosis is correct were the highest-ranked, clinician-based solutions to diagnostic error. Inadequate staffing levels and excessive workload were the most highly ranked system-related and situational factors. Increased access to and availability of consultants and experts was the most highly ranked system-based solution to diagnostic error. We found a low level of self-perceived diagnostic error in an experienced group of paediatricians, at variance with the literature and warranting further clarification. The results identify perceptions on the major cognitive, system-related and situational factors contributing to diagnostic error and also key preventative strategies. • Diagnostic errors are an important source of preventable patient harm and have an estimated incidence of 10-15 %. • They are multifactorial in origin and include cognitive, system-related and situational factors. What is New: • We identified a low rate of self-perceived diagnostic error in contrast to the existing literature. • Incomplete history and examination, inadequate staffing levels and excessive workload are cited as the principal contributing factors to diagnostic error in this study.

Early history of experimental inertial confinement fusion and diagnostics in China

International Nuclear Information System (INIS)

Wang Chuanke; Jiang Shao'en; Ding Yongkun

2014-01-01

The early history of China's research on experimental laser inertial confinement fusion (ICF) and diagnostics technology is reviewed. The long and difficult path started from scratch, from learning the basics, looking up the literature and copying experiments, to independent research and development of comprehensive experimental facilities. This article fills a gap in the history of China's ICF experimental and diagnostics research. (authors)

Bovine subclinical mastitis diagnostics, treatment and prophylaxis

OpenAIRE

Klimaitė, Jūratė

2005-01-01

The distribution of yeast fungi has been ascertained as their influence on SCM etiology. Our developed preparation for treatment for yeast and microbe caused mastitis “Gentafung” is composition of wide spectrum antibiotics and antifungal medications. An evaluation was performed of commercially available homeopathic preparations in treating SCM. A new recommended preparation “OrbeScal” was evaluated for drying cows. A comparison of Candida genus commercial identification systems diagnostic acc...

Democratizing molecular diagnostics for the developing world.

Science.gov (United States)

Abou Tayoun, Ahmad N; Burchard, Paul R; Malik, Imran; Scherer, Axel; Tsongalis, Gregory J

2014-01-01

Infectious diseases that are largely treatable continue to pose a tremendous burden on the developing world despite the availability of highly potent drugs. The high mortality and morbidity rates of these diseases are largely due to a lack of affordable diagnostics that are accessible to resource-limited areas and that can deliver high-quality results. In fact, modified molecular diagnostics for infectious diseases were rated as the top biotechnology to improve health in developing countries. In this review, we describe the characteristics of accessible molecular diagnostic tools and discuss the challenges associated with implementing such tools at low infrastructure sites. We highlight our experience as part of the "Grand Challenge" project supported by the Gates Foundation for addressing global health inequities and describe issues and solutions associated with developing adequate technologies or molecular assays needed for broad access in the developing world. We believe that sharing this knowledge will facilitate the development of new molecular technologies that are extremely valuable for improving global health.

Nuclear Diagnostics at the National Ignition Facility, 2013-2015

Science.gov (United States)

Yeamans, C. B.; Cassata, W. S.; Church, J. A.; Fittinghoff, D. N.; Gatu Johnson, M.; Gharibyan, N.; Határik, R.; Sayre, D. B.; Sio, H. W.; Bionta, R. M.; Bleuel, D. L.; Caggiano, J. A.; Cerjan, C. J.; Cooper, G. W.; Eckart, M. J.; Edwards, E. R.; Faye, S. A.; Forrest, C. J.; Frenje, J. A.; Glebov, V. Yu; Grant, P. M.; Grim, G. P.; Hartouni, E. P.; Herrmann, H. W.; Kilkenny, J. D.; Knauer, J. P.; Mackinnon, A. J.; Merrill, F. E.; Moody, K. J.; Moran, M. J.; Petrasso, R. D.; Phillips, T. W.; Rinderknecht, H. G.; Schneider, D. H. G.; Sepke, S. M.; Shaughnessy, D. A.; Stoeffl, W.; Velsko, C. A.; Volegov, P.

2016-05-01

The National Ignition Facility (NIF) relies on a suite of nuclear diagnostics to measure the neutronic output of experiments. Neutron time-of-flight (NTOF) and neutron activation diagnostics (NAD) provide performance metrics of absolute neutron yield and neutron spectral content: spectral width and non-thermal content, from which implosion physical quantities of temperature and scattering mass are inferred. Spatially-distributed flange- mounted NADs (FNAD) measure, with nearly identical systematic uncertainties, primary DT neutron emission to infer a whole-sky neutron field. An automated FNAD system is being developed. A magnetic recoil spectrometer (MRS) shares few systematics with comparable NTOF and NAD devices, and as such is deployed for independent measurement of the primary neutronic quantities. The gas-Cherenkov Gamma Reaction History (GRH) instrument records four energy channels of time-resolved gamma emission to measure nuclear bang time and burn width, as well as to infer carbon areal density in experiments utilizing plastic or diamond capsules. A neutron imaging system (NIS) takes two images of the neutron source, typically gated to create coregistered 13-15 MeV primary and 6-12 MeV downscattered images. The radiochemical analysis of gaseous samples (RAGS) instrument pumps target chamber gas to a chemical reaction and fractionation system configured with gamma counters, allowing measurement of radionuclides with half-lives as short as 8 seconds. Solid radiochemistry collectors (SRC) with backing NAD foils collect target debris, where activated materials from the target assembly are used as indicators of neutron spectrum content, and also serve as the primary diagnostic for nuclear forensic science experiments. Particle time-of-flight (PTOF) measures compression-bang time using DT- or DD-neutrons, as well as shock bang-time using D3He-protons for implosions with lower x-ray background. In concert, these diagnostics serve to measure the basic and advanced

Target Diagnostics Supports NIF's Path to Ignition

International Nuclear Information System (INIS)

Shelton, R.

2011-01-01

The physics requirements derived from the National Ignition Facility (NIF) experimental campaigns are leading to a wide variety of target diagnostics. Software development for the control and analysis of these diagnostics is included in the NIF Integrated Computer Control System, Diagnostic Control System and Data Visualization. These projects implement the configuration, controls, data analysis and visual representation of most of these diagnostics. To date, over 40 target diagnostics have been developed to support NIF experiments. In 2011 diagnostics were developed or enhanced to measure Ignition performance in a high neutron yield environment. Performance is optimized around four key variables: Adiabat (a) which is the strength and timing of four shocks delivered to the target, Velocity (V) of the imploding target, Mix (M) is the uniformity of the burn, and the Shape (S) of the imploding Deuterium Tritium (DT) hot spot. The diagnostics used to measure each of these parameters is shown in figure 1. Adiabat is measured using the Velocity Interferometer System for Any Reflector (VISAR) diagnostic consisting of three streak cameras. To provide for more accurate adiabat measurements the VISAR streak cameras were enhanced in FY11 with a ten comb fiducial signal controller to allow for post shot correction of the streak camera sweep non-linearity. Mix is measured by the Neutron Time of Flight (NTOF) and Radiochemical Analysis of Gaseous Samples (RAGS) diagnostics. To accommodate high neutron yield shots, NTOF diagnostic controls are being modified to use Mach Zehnder interferometer signals to allow the digitizers to be moved from near the target chamber to the neutron shielded diagnostic mezzanine. In December 2011 the first phase of RAGS diagnostic commissioning will be completed. This diagnostic will analyze the tracers that are added to NIF target capsules that undergo nuclear reactions during the shot. These gases are collected and purified for nuclear counting by

Electron temperature diagnostics in the RFX reversed field pinch experiment

International Nuclear Information System (INIS)

Bartiromo, R.; Carraro, L.; Marrelli, L.; Murari, A.; Pasqualotto, R.; Puiatti, M.E.; Scarin, P.; Valisa, M.; Franz, P.; Martin, P.; Zabeo, L.

2000-01-01

The paper presents an integrated approach to the problem of electron temperature diagnostics of the plasma in a reversed field pinch. Three different methods, sampling different portions of the electron distribution function, are adopted, namely Thomson scattering, soft X-ray spectroscopy by pulse-height analysis and filtered soft X-ray intensity ratio. A careful analysis of the different sources of systematic errors is performed and a novel statistical approach is adopted to mutually validate the three independent measurements. A satisfactory agreement is obtained over a large range of experimental conditions, indicating that in the plasma core the energy distribution function is well represented by a maxwellian. (author)

Recent diagnostic development for inertial confinement fusion research at Los Alamos National Laboratory

Energy Technology Data Exchange (ETDEWEB)

Murphy, T.J.; Oertel, J.A.; Archuleta, T.N. [and others

1997-09-01

Inertial Confinement Fusion (ICF) experiments require sophisticated diagnostics with temporal resolution measured in tens of picoseconds and spatial resolutions measured in microns. The Los Alamos ICF Program is currently supporting a number of diagnostics on the Nova and Triden laser facilities, and is developing new diagnostics for use on the Omega laser facility. New systems and technologies are being developed for use on the National Ignition Facility, which is expected to be operational early in the next decade.

Recent diagnostic development for inertial confinement fusion research at Los Alamos National Laboratory

International Nuclear Information System (INIS)

Murphy, T.J.; Oertel, J.A.; Archuleta, T.N.

1997-01-01

Inertial Confinement Fusion (ICF) experiments require sophisticated diagnostics with temporal resolution measured in tens of picoseconds and spatial resolutions measured in microns. The Los Alamos ICF Program is currently supporting a number of diagnostics on the Nova and Triden laser facilities, and is developing new diagnostics for use on the Omega laser facility. New systems and technologies are being developed for use on the National Ignition Facility, which is expected to be operational early in the next decade

How to influence fertility: the experience so far.

Science.gov (United States)

Weeks, J R

1990-09-01

Even though fertility in the US is 2, the population grows each year by 2.5 million people due to natural increase and immigration. The US has never had a formal population policy to influence its birth rate. Yet the US government advises other nations, especially developing nations, how they should go about reducing their fertility. Instead the US can learn from population policies of direct disincentives, such as no income tax allowance for 3 children. In Indonesia, the president and Islamic religious leaders strongly support family planning. In Mexico, both the public and private sectors provide family planning services. The US does not have experience in influencing fertility declines, since fertility declined due to economic development over a period of time. Some scholars claim that there are 3 preconditions for a sustained decline in fertility, all of which have significance for setting population policies. The 1st is called rational choice in which conditions are such in a society that women can make their own decision. For example, the existence of legislation that guarantees women the right to act in their own interest, including the right to make their own reproductive decisions. The 2nd involves policies or conditions that motivate individuals and/or couples to limit family size. Incentives and disincentives can provide the needed motivation. For example, the government pays a woman for not having a child for a specific interval. The last precondition includes the necessity of having means available to limit family size. These means include knowledge of contraceptive methods and accessibility to them.

Pathways to multidrug-resistant tuberculosis diagnosis and treatment initiation: a qualitative comparison of patients' experiences in the era of rapid molecular diagnostic tests.

Science.gov (United States)

Naidoo, Pren; van Niekerk, Margaret; du Toit, Elizabeth; Beyers, Nulda; Leon, Natalie

2015-10-28

Although new molecular diagnostic tests such as GenoType MTBDRplus and Xpert® MTB/RIF have reduced multidrug-resistant tuberculosis (MDR-TB) treatment initiation times, patients' experiences of diagnosis and treatment initiation are not known. This study aimed to explore and compare MDR-TB patients' experiences of their diagnostic and treatment initiation pathway in GenoType MTBDRplus and Xpert® MTB/RIF-based diagnostic algorithms. The study was undertaken in Cape Town, South Africa where primary health-care services provided free TB diagnosis and treatment. A smear, culture and GenoType MTBDRplus diagnostic algorithm was used in 2010, with Xpert® MTB/RIF phased in from 2011-2013. Participants diagnosed in each algorithm at four facilities were purposively sampled, stratifying by age, gender and MDR-TB risk profiles. We conducted in-depth qualitative interviews using a semi-structured interview guide. Through constant comparative analysis we induced common and divergent themes related to symptom recognition, health-care access, testing for MDR-TB and treatment initiation within and between groups. Data were triangulated with clinical information and health visit data from a structured questionnaire. We identified both enablers and barriers to early MDR-TB diagnosis and treatment. Half the patients had previously been treated for TB; most recognised recurring symptoms and reported early health-seeking. Those who attributed symptoms to other causes delayed health-seeking. Perceptions of poor public sector services were prevalent and may have contributed both to deferred health-seeking and to patient's use of the private sector, contributing to delays. However, once on treatment, most patients expressed satisfaction with public sector care. Two patients in the Xpert® MTB/RIF-based algorithm exemplified its potential to reduce delays, commencing MDR-TB treatment within a week of their first health contact. However, most patients in both algorithms experienced

Ares I-X Ground Diagnostic Prototype

Science.gov (United States)

Schwabacher, Mark A.; Martin, Rodney Alexander; Waterman, Robert D.; Oostdyk, Rebecca Lynn; Ossenfort, John P.; Matthews, Bryan

2010-01-01

The automation of pre-launch diagnostics for launch vehicles offers three potential benefits: improving safety, reducing cost, and reducing launch delays. The Ares I-X Ground Diagnostic Prototype demonstrated anomaly detection, fault detection, fault isolation, and diagnostics for the Ares I-X first-stage Thrust Vector Control and for the associated ground hydraulics while the vehicle was in the Vehicle Assembly Building at Kennedy Space Center (KSC) and while it was on the launch pad. The prototype combines three existing tools. The first tool, TEAMS (Testability Engineering and Maintenance System), is a model-based tool from Qualtech Systems Inc. for fault isolation and diagnostics. The second tool, SHINE (Spacecraft Health Inference Engine), is a rule-based expert system that was developed at the NASA Jet Propulsion Laboratory. We developed SHINE rules for fault detection and mode identification, and used the outputs of SHINE as inputs to TEAMS. The third tool, IMS (Inductive Monitoring System), is an anomaly detection tool that was developed at NASA Ames Research Center. The three tools were integrated and deployed to KSC, where they were interfaced with live data. This paper describes how the prototype performed during the period of time before the launch, including accuracy and computer resource usage. The paper concludes with some of the lessons that we learned from the experience of developing and deploying the prototype.

Cloud Computing Technologies in Writing Class: Factors Influencing Students’ Learning Experience

Directory of Open Access Journals (Sweden)

Jenny WANG

2017-07-01

Full Text Available The proposed interactive online group within the cloud computing technologies as a main contribution of this paper provides easy and simple access to the cloud-based Software as a Service (SaaS system and delivers effective educational tools for students and teacher on after-class group writing assignment activities. Therefore, this study addresses the implementation of the most commonly used cloud applications, Google Docs, in a higher education course. The learning environment integrated Google Docs that students are using to develop and deploy writing assignments in between classes has been subjected to learning experience assessment. Using the questionnaire as an instrument to study participants (n=28, the system has provided an effective learning environment in between classes for the students and the instructor to stay connected. Factors influencing students’ learning experience based on cloud applications include frequency of interaction online and students’ technology experience. Suggestions to cope with challenges regarding the use of them in higher education including the technical issues are also presented. Educators are therefore encouraged to embrace cloud computing technologies as they design the course curriculum in hoping to effectively enrich students’ learning.

Hepatic trauma: CT findings and considerations based on our experience in emergency diagnostic imaging

Energy Technology Data Exchange (ETDEWEB)

Romano, Luigia; Giovine, Sabrina; Guidi, Guido; Tortora, Giovanni; Cinque, Teresa; Romano, Stefania E-mail: stefromano@libero.it

2004-04-01

findings and peritoneal fluid evaluation may be used to make a first differentiation of severity of lesions, but haemodynamic parameters may help the clinician to prefer a conservative treatment. In emergency based hospitals and also in our experience, positive benefits spring from diagnostic accuracy and consequent correct therapeutic management.

The influence of family accommodation on pediatric hospital experience in Canada.

Science.gov (United States)

Franck, Linda S; Ferguson, Deron; Fryda, Sarah; Rubin, Nicole

2017-08-15

The goals of our study were to describe the types of family accommodation for parents of hospitalized children and to examine their influence on the pediatric hospital experience. This multi-site cohort survey included 10 hospitals in Ontario Province, Canada. Participants were parents of inpatient children (n = 1240). Main outcome measures included ratings of three parent-reported measures of hospital experience: overall hospital experience; willingness to recommend the hospital to family or friends; and how much the accommodation type helped parent stay involved in their child's hospital care. Parents most often stayed in the child's room (74.7%), their own home (12.3%), hotel (4.0%) or a Ronald McDonald House (3.0%). Accommodation varied based on hospital, parent and child factors. Length of stay and the child's health status were significant predictors for overall hospital experience and recommending the hospital to family or friends, but accommodation type was not. Families who stayed at a Ronald McDonald House reported greater involvement in their child's care compared with other accommodation types (odds ratio: 1.54-20.73 for contrasted accommodation types). Use of different overnight accommodations for families of hospitalized pediatric patients in Canada is similar to a previous report of U.S. family hospital accommodations. In contrast to the previous U.S. findings, Canadian hospital experience scores were lower and accommodation type was not a significant predictor of overall hospital experience or willingness to recommend the hospital. In Canada, as in the U.S., families who stayed at a Ronald McDonald House reported that this accommodation type significantly improved their ability to be involved in their child's care.

Reasoning process characteristics in the diagnostic skills of beginner, competent, and expert dentists.

Science.gov (United States)

Crespo, Kathleen E; Torres, José E; Recio, María E

2004-12-01

The purpose of this study was to evaluate qualitative differences in the diagnostic reasoning process at different developmental stages of expertise. A qualitative design was used to study cognitive processes that characterize the diagnosis of oral disease at the stages of beginner (five junior students who had passed the NBDE I), competent (five GPR first-year residents), and expert dentists (five general dentists with ten or more years of experience). Individually, each participant was asked to determine the diagnosis of an oral condition based on a written clinical case, using the think aloud technique and retrospective reports. A subsequent interview was conducted to obtain the participants' diagnostic process model and pathophysiology of the case. The analysis of the verbal protocols indicated that experts referred to the patient's sociomedical context more frequently, demonstrated better organization of ideas, could determine key clinical findings, and had an ability to plan for the search of pertinent information. Fewer diagnostic hypotheses were formulated by participants who used forward reasoning, independent of the stage of development. Beginners requested additional diagnostic aids (radiographs, laboratory tests) more frequently than the competent/expert dentists. Experts recalled typical experiences with patients, while competent/beginner dentists recalled information from didactic courses. Experts evidenced cognitive diagnostic schemas that integrate pathophysiology of disease, while competent and beginner participants had not achieved this integration. We conclude that expert performance is a combination of a knowledge base, reasoning skills, and an accumulation of experiences with patients that is qualitatively different from that of competent and beginner dentists. It is important for dental education to emphasize the teaching of cognitive processes and to incorporate a wide variety of clinical experiences in addition to the teaching of

Using the method of judgement analysis to address variations in diagnostic decision making

OpenAIRE

Hancock, Helen C; Mason, James M; Murphy, Jerry J

2012-01-01

Abstract Background Heart failure is not a clear-cut diagnosis but a complex clinical syndrome with consequent diagnostic uncertainty. Judgment analysis is a method to help clinical teams to understand how they make complex decisions. The method of judgment analysis was used to determine the factors that influence clinicians' diagnostic decisions about heart failure. Methods Three consultants, three middle grade doctors, and two junior doctors each evaluated 45 patient scenarios. The main out...

Portable Diagnostics and Rapid Germination

Energy Technology Data Exchange (ETDEWEB)

Dunn, Zachary Spencer [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

2016-12-01

In the Bioenergy and Defense Department of Sandia National Laboratories, characterization of the BaDx (Bacillus anthracis diagnostic cartridge) was performed and rapid germination chemistry was investigated. BaDx was tested with complex sample matrixes inoculated with Bacillus anthracis, and the trials proved that BaDx will detect Bacillus anthracis in a variety of the medium, such as dirt, serum, blood, milk, and horse fluids. The dimensions of the device were altered to accommodate an E. coli or Listeria lateral flow immunoassay, and using a laser printer, BaDx devices were manufactured to identify E. coli and Listeria. Initial testing with E. coli versions of BaDx indicate that the device will be viable as a portable diagnostic cartridge. The device would be more effective with faster bacteria germination; hence studies were performed the use of rapid germination chemistry. Trials with calcium dipicolinic acid displayed increased cell germination, as shown by control studies using a microplate reader. Upon lyophilization the rapid germination chemistry failed to change growth patterns, indicating that the calcium dipicolinic acid was not solubilized under the conditions tested. Although incompatible with the portable diagnostic device, the experiments proved that the rapid germination chemistry was effective in increasing cell germination.

Variable demand and productivity in diagnostic medicine: the customer experience with the scheduling of examinations

Directory of Open Access Journals (Sweden)

Leandro Ortigoza Martins

2016-04-01

Full Text Available From the perspective of marketing, diagnostic medicine services are perishable and demand is variable — characteristics that difficult the maximization of results. Service providers offer the exams through time scheduling system without, however, overcome the inefficiency caused by the no show customers. The objective of this research was to investigate the level of satisfaction of consumers of diagnostic medicine with the schedule, the acceptance of a new model without an appointment time and analyze three secondary dimensions common to the two models (no show, seasonality and timeout in customer satisfaction. This is a quantitative research with exploratory-descriptive design performed with 2,545 clients from a privately held diagnostic medicine in 2013. The results of the secondary dimensions indicated that customers tend to frequent establishments as the current seasonal and are sensitive to wait. As for the main dimensions (scheduling and demand free, there are different levels of acceptance, indicating that the two systems are complementary and not exclusive and therefore, the feasibility of adopting a hybrid model of operation, with the use of two templates.

DIAGNOSTICS AND THERAPY IN CHILDREN'S ACUTE GASTROENTERITIS

Directory of Open Access Journals (Sweden)

M.D. Bakradze

2007-01-01

Full Text Available The work aimed at studying a series of diagnostic aspects and determination of the possible treatment of children with acute gastroenetrites according to the protocol based on international recommendations and standards. The study involved 130 children, of whom in 71 patients the presence of rotavirus antigen in coprofilters was checked via latex particle agglutination method. In 85% rotavirus infection was confirmed. It was shown that the majority of cases fall on November to may. Infant and early children are the most susceptible to rotavirus gastroenteritis. The analysis of therapy results showed that antibioticsfree treatment of watery diarrhea patients worked well, and prescription of antibacterial therapy for the concomitant bacterial infection does not influence the time of gastroenteritis reduction. The results of dehydration therapy show that oral rehydration is not always effective for the 2nd stage dehydration, especially with late treatment. However, the time of recovery (diarrhea reduction does not depend on the type of rehydration or symptomatic therapy. A diagnostic algorithm that helps use the minimum diagnostic methods in stationary conditions and at the same time provides the optimum scope of therapeutic intervention was worked out.Key words: rotavirus infection, children, rehydration, antibacterial therapy.

The appropriateness of XML for diagnostic description

Energy Technology Data Exchange (ETDEWEB)

Neto, A. [Associacao Euratom/IST, Centro de Fusao Nuclear, Av. Rovisco Pais, P-1049-001 Lisboa (Portugal)], E-mail: andre.neto@cfn.ist.utl.pt; Lister, J.B. [CRPP-EPFL, Association EURATOM-Confederation Suisse, 1015 Lausanne (Switzerland); Fernandes, H. [Associacao Euratom/IST, Centro de Fusao Nuclear, Av. Rovisco Pais, P-1049-001 Lisboa (Portugal); Yonekawa, I. [JAEA, Japan Atomic Energy Agency Naka (Japan); Varandas, C.A.F. [Associacao Euratom/IST, Centro de Fusao Nuclear, Av. Rovisco Pais, P-1049-001 Lisboa (Portugal)

2007-10-15

A standard for the self-description of fusion plasma diagnostics will be required in the near future. The motivation is to maintain and organize the information on all the components of a laboratory experiment, from the hardware to the access security, to save time and money. Since there is no existing standard to organize this kind of information, every EU Association stores and organizes each experiment in different ways. This can lead to severe problems when the particular organization schema is poorly documented. Standardization is the key to solve these problems. From the commercial information on the diagnostic (component supplier; component price) to the hardware description (component specifications; drawings) to the operation of the equipment (finite state machines) through change control (who changed what and when) and internationalization (information at least in English and a local language). This problem will be met on the ITER project, for which a solution is essential. A strong candidate solution is the Extensible Markup Language (XML). In this paper, a review of the current status of XML related technologies will be presented.

The appropriateness of XML for diagnostic description

International Nuclear Information System (INIS)

Neto, A.; Lister, J.B.; Fernandes, H.; Yonekawa, I.; Varandas, C.A.F.

2007-01-01

A standard for the self-description of fusion plasma diagnostics will be required in the near future. The motivation is to maintain and organize the information on all the components of a laboratory experiment, from the hardware to the access security, to save time and money. Since there is no existing standard to organize this kind of information, every EU Association stores and organizes each experiment in different ways. This can lead to severe problems when the particular organization schema is poorly documented. Standardization is the key to solve these problems. From the commercial information on the diagnostic (component supplier; component price) to the hardware description (component specifications; drawings) to the operation of the equipment (finite state machines) through change control (who changed what and when) and internationalization (information at least in English and a local language). This problem will be met on the ITER project, for which a solution is essential. A strong candidate solution is the Extensible Markup Language (XML). In this paper, a review of the current status of XML related technologies will be presented

Neutron time-of-flight ion temperature diagnostic for inertial confinement fusion experiments

International Nuclear Information System (INIS)

Chrien, R.E.; Simmons, D.F.; Holmberg, D.L.

1992-01-01

We are constructing a T i diagnostic for low neutron yield (5 x 10 7 to above 10 9 ) d-d and d-t targets in the Nova facility at Livermore. The diagnostic measures the neutron energy spread with 960 scintillator-photomultiplier detectors located 28 m from the target and operates in the single-hit mode. Each detector can measure a single neutron arrival with time resolution of 1 ns or better. The arrival time distribution is constructed from the results of typically 200--500 detector measurements. The ion temperature is determined from the spread in neutron energy ΔE n ∝ T i 1/2 , which is related to the arrival time spread by Δt/t = 1(1/2 ΔE n /E n ). Each neutron arrival is detected by using a photomultiplier tube to observe the recoil proton from elastic scattering in a fast plastic scintillator. The timing electronics for each channel consist of a novel constant fraction-like discriminator and a multiple hit time-to-digital converter (TDC). The overall system design, together with single channel performance data, is presented

Diagnostic Strategy in APR1400

Energy Technology Data Exchange (ETDEWEB)

Kim, Dongyoung; Kim, Jonghyun [KEPCO International Nuclear Graduate School, Ulsan (Korea, Republic of)

2013-05-15

These features may bring out changes in operator tasks, changing the characteristics of tasks, or creating new tasks. Diagnostic strategy for identifying anomaly may be different especially in APR1400 from that in the analog control room due to the change of human-system interface, i.e. alarm system and display system. Since the first plant of APR1400 is being built at this moment, it is not known what strategies the operators will adopt in diagnosis tasks in the new operating environment. In this light, this paper aims at investigating operator's diagnostic strategies which are appropriate for APR1400. In order to collect data, several different approaches which are complementary are used to identify diagnostic strategies in the digital control room: analysis on audio/video recording of operation, observation in the simulator, and interview with the operators. The result shows that the digital control room introduces new strategies in the diagnosis, compared with the analog control room, and also changed the characteristics of strategies, mostly, by getting more support from the computerized system. This paper investigated how the digitalized control room may influence operator's diagnostic strategies. Several different approaches, i. e., audio/video record, observation of training, and the interview with operators, were used to gather information about the operator's behaviors. As a conclusion, this paper figured out that the digital control room introduces new strategies in the diagnosis, compared with the analog control room, and also changed the characteristics of the strategies, mostly, by getting more support from the computerized system. The operators interviewed also commented that the diagnosis in the APR1400 is quicker, more correct, and easier, compared with the analog control room.

Relating faults in diagnostic reasoning with diagnostic errors and patient harm.

NARCIS (Netherlands)

Zwaan, L.; Thijs, A.; Wagner, C.; Wal, G. van der; Timmermans, D.R.M.

2012-01-01

Purpose: The relationship between faults in diagnostic reasoning, diagnostic errors, and patient harm has hardly been studied. This study examined suboptimal cognitive acts (SCAs; i.e., faults in diagnostic reasoning), related them to the occurrence of diagnostic errors and patient harm, and studied

The Influence of Clinical Experience and Photographic Presentation on Age Assessment of Women.

Science.gov (United States)

Nielsen, Barbara Rubek; Linneberg, Allan; Christensen, Kaare; Forman, Julie Lyng; Schwarz, Peter

2016-01-01

Epidemiological studies have reported that a higher perceived age is associated with poor health and higher mortality. However, the method used for the assessment of perceived age differs between studies with regard to age, gender, the number and occupation of assessors as well as the presentation of participants. It is not known whether the clinical experience of the assessor or photographic presentation have an influence on the assessment of perceived age, which the present study aimed to investigate. In a cross-sectional study of 460 women aged 25-93 years, 10 consultants and 10 residents were asked to estimate the age of each participant using three different photographic presentations: facial photograph, whole-body photograph, and combined facial and whole-body photographs. Data were analyzed by means of summary statistics and linear mixed models. The inter-class correlation coefficient within each assessor group and photographic presentation varied from 0.66 to 0.75. Limits of agreement were in a broad range but were similar in the two assessor groups. The best inter-assessor agreement was obtained from photographs of both the face and the whole body. Intra- and inter-assessor agreements between photographic presentations were similar among both assessor groups. The accuracy in age assessment was significantly influenced by the photographic presentation but not by the clinical experience of the assessor. The difference in the mean perceived age of a participant of average age was estimated as +0.40 years (95% CI: -1.80; 2.59) for consultants versus residents, -2.05 years (95% CI: -2.90; -1.19) for facial photographs versus both facial and whole-body photographs, and -1.44 years (95% CI: -2.30; -0.58) for whole-body photographs versus both facial and whole-body photographs. A regression towards the mean age was seen. The assessment of perceived age was influenced by the photographic presentation but not by the clinical experience of the assessor. © 2015 S

An assessment of the 3D geometric surrogacy of shock timing diagnostic techniques for tuning experiments on the NIF

Energy Technology Data Exchange (ETDEWEB)

Robey, H F; Munro, D H; Spears, B K; Marinak, M M; Jones, O S; Patel, M V; Haan, S W; Salmonson, J D; Landen, O L [Lawrence Livermore National Laboratory, Livermore, CA (United States); Boehly, T R [Laboratory for Laser Energetics, Rochester, NY (United States); Nikroo, A [General Atomics, San Diego, CA (United States)], E-mail: robey1@llnl.gov

2008-05-15

Ignition capsule implosions planned for the National Ignition Facility (NIF) require a pulse shape with a carefully designed series of four steps, which launch a corresponding series of shocks through the ablator and DT ice shell. The relative timing of these shocks is critical for maintaining the DT fuel on a low adiabat. The current NIF specification requires that the timing of all four shocks be tuned to an accuracy of {<=} +/- 100ps. To meet these stringent requirements, dedicated tuning experiments are being planned to measure and adjust the shock timing on NIF. These tuning experiments will be performed in a modified hohlraum geometry, where a re-entrant Au cone is added to the standard NIF hohlraum to provide optical diagnostic (VISAR and SOP) access to the shocks as they break out of the ablator. This modified geometry is referred to as the 'keyhole' hohlraum and introduces a geometric difference between these tuning-experiments and the full ignition geometry. In order to assess the surrogacy of this modified geometry, 3D simulations using HYDRA [1] have been performed. The results from simulations of a quarter of the target geometry are presented. Comparisons of the hohlraum drive conditions and the resulting effect on the shock timing in the keyhole hohlraum are compared with the corresponding results for the standard ignition hohlraum.

An assessment of the 3D geometric surrogacy of shock timing diagnostic techniques for tuning experiments on the NIF

International Nuclear Information System (INIS)

Robey, H F; Munro, D H; Spears, B K; Marinak, M M; Jones, O S; Patel, M V; Haan, S W; Salmonson, J D; Landen, O L; Boehly, T R; Nikroo, A

2008-01-01

Ignition capsule implosions planned for the National Ignition Facility (NIF) require a pulse shape with a carefully designed series of four steps, which launch a corresponding series of shocks through the ablator and DT ice shell. The relative timing of these shocks is critical for maintaining the DT fuel on a low adiabat. The current NIF specification requires that the timing of all four shocks be tuned to an accuracy of ≤ +/- 100ps. To meet these stringent requirements, dedicated tuning experiments are being planned to measure and adjust the shock timing on NIF. These tuning experiments will be performed in a modified hohlraum geometry, where a re-entrant Au cone is added to the standard NIF hohlraum to provide optical diagnostic (VISAR and SOP) access to the shocks as they break out of the ablator. This modified geometry is referred to as the 'keyhole' hohlraum and introduces a geometric difference between these tuning-experiments and the full ignition geometry. In order to assess the surrogacy of this modified geometry, 3D simulations using HYDRA [1] have been performed. The results from simulations of a quarter of the target geometry are presented. Comparisons of the hohlraum drive conditions and the resulting effect on the shock timing in the keyhole hohlraum are compared with the corresponding results for the standard ignition hohlraum

Simulation Experiments with the Model of Information-Psychological Influences on Mass Consciousness

Directory of Open Access Journals (Sweden)

Vladimir A. Minaev

2017-06-01

which system- dynamic models are based are systems of differential equations. The authors of the article constructed an imitation model that makes it possible to identify the interrelationships between factors that effect the dynamics of information and psychological influences on mass consciousness, and its implementation has been carried out in the Anylogic software environment. This environment is one of the most promising environments for simulation. Temporal graphs reflecting the dynamics of the number of persons capable of adopting the idea of information and psychological influence, the number of persons who adopted the idea of information and psychological influences, and graphs reflecting the distribution in time of the number of persons who adopted the idea of information and psychological influences under certain initial conditions are given. Simulation experiments related to variations of the model parameters in which the dependence of increasing rate of person’s number who adopted the idea of information and psychological effects on the frequency of person’s contacts sharing these ideas is studied.

Diagnosing alcoholism in high-risk drinking drivers: comparing different diagnostic procedures with estimated prevalence of hazardous alcohol use

NARCIS (Netherlands)

Korzec, A.; Bär, M.; Koeter, M. W.; de Kieviet, W.